Rickey Lee Cole Jr.

Individual provider Developmental Disabilities Clinic/Center · NPI 1841065901

Rickey Lee Cole Jr. is a Developmental Disabilities Clinic/Center in Holland, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since: 2023
Specialties on file: 5

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Practice location Address checks out

745 Favony Ave
Holland, OH 43528-8565
Phone: (567) 408-4175

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary)	Taxonomy 253Z00000X
Developmental Disabilities Clinic/Center	Taxonomy 261QD1600X
Private Vehicle	Taxonomy 347C00000X
Adult Companion	Taxonomy 372600000X
Personal Care Attendant	Taxonomy 3747P1801X

Record details

NPI number	1841065901
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	November 20, 2023
Last updated in NPPES	February 14, 2024
Certification date	February 14, 2024