Provider Demographics
NPI:1770924185
Name:DUPREY, RICARDO JR
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:DUPREY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-0513
Mailing Address - Country:US
Mailing Address - Phone:828-505-3842
Mailing Address - Fax:828-505-3842
Practice Address - Street 1:8 ELLA LN
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:NC
Practice Address - Zip Code:28701-5506
Practice Address - Country:US
Practice Address - Phone:828-505-3842
Practice Address - Fax:828-505-3842
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-13
Last Update Date:2013-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home