Individual provider · Type 1 NPI

Raymond B. Hendricks

Adult Care Home Facility · Port Charlotte, FL

NPI number 1144699646 Active

Practice location

1306 Annette St
Port Charlotte, FL 33980

Call (941) 764-1572 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X6906749 (FL)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1144699646

Raymond B. Hendricks's National Provider Identifier is 1144699646, issued on Sep 15, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Port Charlotte, FL. The record was last updated on Sep 15, 2015.