Individual
NICOLE RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 LAKE HERITAGE DR, RUTHER GLEN, VA 22546-1054
(540) 257-4849
Mailing address
1004 LAKE HERITAGE DR, RUTHER GLEN, VA 22546-1054
(540) 257-4849
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
12386
VA
3747A0650X
Attendant Care Provider
Primary
12386
VA
376K00000X
Nurse's Aide
1401125621
VA
Other
Enumeration date
01/24/2013
Last updated
01/25/2013
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