Individual
MRS. CANISHA SHARRON RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 CYMMER CT, CONWAY, SC 29527-3165
(419) 407-7496
Mailing address
1213 CYMMER CT, CONWAY, SC 29527-3165
(419) 407-7496
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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