Individual
MICHELLE RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 WILBER ST, SOUTH BEND, IN 46628-2638
(574) 999-0105
Mailing address
1141 WILBER ST, SOUTH BEND, IN 46628-2638
(574) 999-0105
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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