Provider Demographics
NPI:1043575368
Name:RICE, MICHELLE DOMINIQUE (HHA)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:DOMINIQUE
Last Name:RICE
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 COMMODOR JOSHUA BARNEY DRIVE N.E.
Mailing Address - Street 2:APT 302
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018
Mailing Address - Country:US
Mailing Address - Phone:202-878-3150
Mailing Address - Fax:
Practice Address - Street 1:3500 COMMODOR JOSHUA BARNEY DRIVE N.E.
Practice Address - Street 2:APT 302
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018
Practice Address - Country:US
Practice Address - Phone:202-878-3150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide