Provider Demographics
NPI:1215586615
Name:RICE, REBECCA ELAINE
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ELAINE
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 1:26348 OLD SCHOOL HOUSE ROAD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:AL
Mailing Address - Zip Code:35739
Mailing Address - Country:US
Mailing Address - Phone:256-651-5723
Mailing Address - Fax:
Practice Address - Street 1:26348 OLD SCHOOL HOUSE ROAD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:AL
Practice Address - Zip Code:35739
Practice Address - Country:US
Practice Address - Phone:256-651-5723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider