Provider Demographics
NPI:1053858597
Name:RICE, MEIKE LORRAINE
Entity Type:Individual
Prefix:
First Name:MEIKE
Middle Name:LORRAINE
Last Name:RICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2483 WHISPERING WOODS BLVD
Mailing Address - Street 2:UNIT 3
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-9304
Mailing Address - Country:US
Mailing Address - Phone:904-563-6616
Mailing Address - Fax:
Practice Address - Street 1:2483 WHISPERING WOODS BLVD
Practice Address - Street 2:UNIT 3
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-9304
Practice Address - Country:US
Practice Address - Phone:904-563-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator