Provider Demographics
NPI:1275717233
Name:RITA KNIGHT-RITCHIE DBA FRIENDS IN-HOME SERVICES
Entity Type:Organization
Organization Name:RITA KNIGHT-RITCHIE DBA FRIENDS IN-HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:D
Authorized Official - Last Name:KNIGHT-RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN #053579
Authorized Official - Phone:573-276-5553
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:3020 DOUGLAS HWY. 25 NORTH
Mailing Address - City:MALDEN
Mailing Address - State:MO
Mailing Address - Zip Code:63863-0197
Mailing Address - Country:US
Mailing Address - Phone:573-276-5553
Mailing Address - Fax:573-276-2422
Practice Address - Street 1:3020 DOUGLAS HWY. 25 NORTH
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MO
Practice Address - Zip Code:63863-0197
Practice Address - Country:US
Practice Address - Phone:573-276-5553
Practice Address - Fax:573-276-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MO76214710698322251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO288243702Medicaid
MO268243706Medicaid