Provider Demographics
NPI:1992449797
Name:RICE, MARIAH MERCEDIES
Entity type:Individual
Prefix:MS
First Name:MARIAH
Middle Name:MERCEDIES
Last Name:RICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 MORIN WAY
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89060-1911
Mailing Address - Country:US
Mailing Address - Phone:775-471-2658
Mailing Address - Fax:
Practice Address - Street 1:550 MORIN WAY
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-1911
Practice Address - Country:US
Practice Address - Phone:775-471-2658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care