Provider Demographics
NPI:1922476407
Name:RIGG, CHRISTINE (HOMEMAKER COMPANION)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:RIGG
Suffix:
Gender:F
Credentials:HOMEMAKER COMPANION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 SW MCCOMB AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3811
Mailing Address - Country:US
Mailing Address - Phone:561-504-9969
Mailing Address - Fax:888-579-1721
Practice Address - Street 1:542 SW MCCOMB AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-3811
Practice Address - Country:US
Practice Address - Phone:561-504-9969
Practice Address - Fax:888-579-1721
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232095253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care