Ricca in East Moline - Rehabilitation, Substance Use Disorder
Ricca - NPI 1639298706
Ricca is a Rehabilitation, Substance Use Disorder in East Moline, Illinois. Ricca practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Ricca is 1639298706. The last update date is 2017-07-17.
Ricca's current location address is 1607 John Deere Rd, East Moline, Illinois. You can contact this provider via phone number 3097920292 and fax number 3097921121. The mailing address for Ricca is 1607 John Deere Rd, East Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ricca |
|---|---|
| Address | 1607 John Deere Rd, East Moline, Illinois |
| Phone Number | 3097920292 |
| Fax Number | 3097921121 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Engholm J. Mary |
| Credentials | CADC, CAMS |
| Telephone Number | 3097920292 |
NPI Number Detail
| NPI Number | 1639298706 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2017-07-17 |
Provider Mailing Address Detail
| Address | 1607 John Deere Rd |
|---|---|
| City | East Moline |
| State | Illinois (IL) |
| Post Code | 612449662 |
| Phone Number | 3097920292 |
| Fax Number | 3097921121 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | A-0625-0004- |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Ricca by the Centers for Medicare & Medicaid Services?
The Ricca has been assigned the NPI (National Provider Identifier) 1639298706. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ricca's facilities are geographically located?
The facilities of Ricca are physically situated at the following location: 1607 John Deere Rd, East Moline, IL, 612449662.
What is Ricca's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ricca's specialized field of practice is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639298706 to Ricca?
The Centers for Medicare & Medicaid Services assigned the 1639298706 to Ricca on 2007-03-28.
As of what date was the information regarding Ricca, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ricca, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-07-17.
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