Provider Demographics
NPI:1922410588
Name:RICHARDS, REBECCA (CASE MANAGER)
Entity Type:Individual
Prefix:MISS
First Name:REBECCA
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-2205
Mailing Address - Country:US
Mailing Address - Phone:603-625-6980
Mailing Address - Fax:603-625-6982
Practice Address - Street 1:101 MANCHESTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-2205
Practice Address - Country:US
Practice Address - Phone:603-625-6980
Practice Address - Fax:603-625-6982
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator