Provider Demographics
NPI:1407022387
Name:RIZZO MANAGEMENT SERVICES, INC
Entity Type:Organization
Organization Name:RIZZO MANAGEMENT SERVICES, INC
Other - Org Name:GRISWOLD SPECIAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:MIDDLETON
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-406-0701
Mailing Address - Street 1:1033 LAKE ASBURY DR
Mailing Address - Street 2:
Mailing Address - City:GREEN COVE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32043-9555
Mailing Address - Country:US
Mailing Address - Phone:904-704-0529
Mailing Address - Fax:
Practice Address - Street 1:4213 COUNTY ROAD 218 STE 2
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-4856
Practice Address - Country:US
Practice Address - Phone:904-406-0701
Practice Address - Fax:904-406-0703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNR30211330251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health