Individual
RICKEY LEE COLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 FAVONY AVE, HOLLAND, OH 43528-8565
(567) 408-4175
Mailing address
745 FAVONY AVE, HOLLAND, OH 43528-8565
(567) 408-4175
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/20/2023
Last updated
02/14/2024
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