Provider Demographics
NPI:1992375315
Name:RITELIFE SERVICES INC
Entity Type:Organization
Organization Name:RITELIFE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MOODY HOLBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-503-1323
Mailing Address - Street 1:5029 SE EBBTIDE AVE
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-3164
Mailing Address - Country:US
Mailing Address - Phone:561-503-1323
Mailing Address - Fax:772-320-9966
Practice Address - Street 1:705 KITTERMAN RD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-9018
Practice Address - Country:US
Practice Address - Phone:561-503-1323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL705OtherADDRESS