Individual provider · Type 1 NPI

Lakisha Danyel Richo

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL

NPI number 1013413533 Active

Practice location

2871 Alaskan Way
Jacksonville, FL 32226-5849

Call (904) 465-9005 Map

Mailing address

PO Box 26755
Jacksonville, FL 32226-6755

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1013413533

Lakisha Danyel Richo's National Provider Identifier is 1013413533, issued on Apr 3, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 27, 2018.