Provider Demographics
NPI:1285128843
Name:RICE-FLENOY, ELICIA (QMHS)
Entity type:Individual
Prefix:
First Name:ELICIA
Middle Name:
Last Name:RICE-FLENOY
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3312 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-1253
Mailing Address - Country:US
Mailing Address - Phone:419-450-2641
Mailing Address - Fax:
Practice Address - Street 1:3312 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1253
Practice Address - Country:US
Practice Address - Phone:419-450-2641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No171M00000XOther Service ProvidersCase Manager/Care Coordinator