Provider Demographics
NPI:1720749054
Name:RICHS RESIDENTIAL AND HOME CARE OPTIONS
Entity Type:Organization
Organization Name:RICHS RESIDENTIAL AND HOME CARE OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:517-667-2664
Mailing Address - Street 1:820 CHARLEVOIX DR STE 220
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-8188
Mailing Address - Country:US
Mailing Address - Phone:517-731-6847
Mailing Address - Fax:517-731-6848
Practice Address - Street 1:820 CHARLEVOIX DR STE 220
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-8188
Practice Address - Country:US
Practice Address - Phone:517-731-6847
Practice Address - Fax:517-731-6848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-08
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty