MEDICARE: RAEKEL RICHMOND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	372500000X	Chore Provider
3	372600000X	Adult Companion
4	374U00000X	Home Health Aide
5	376J00000X	Homemaker
6	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1992192041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAEKEL RICHMOND

Provider Business Mailing Address
First Line	:	7813 FUQUA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77075-3618
Country	:	US
Telephone Number	:	832-821-5205
Fax Number	:	832-821-5205

Provider Business Practice Location Address
First Line	:	7813 FUQUA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77075-3618
Country	:	US
Telephone Number	:	832-821-5205
Fax Number	:	832-821-5205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	04/15/2015

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Directions to “ RAEKEL RICHMOND ” Practice Location

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