Rickey Roach
Home Health in Milwaukee, WI. Individual provider (NPI-1).
NPI number1710697818
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1710697818
- Entity type
- Individual (NPI-1)
- Name
- Rickey Roach
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2022
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 0019066 | WI | Yes |
Practice location
2928 N 55th StMilwaukee, WI 53210-1561
Phone 414-766-8072
Mailing address
Po Box 241003Milwaukee, WI 53224-9025
Phone 414-766-8072 · Fax 414-231-3734
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All 380 Home Health Agency providers in Milwaukee · All 23,880 providers in Milwaukee
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