Individual provider · Type 1 NPI
Tieshquanna Ciare Richardson
Assisted Living Facility · Clayton, NC
NPI number
1336799246
Active
Practice location
312 Kilgo St
Clayton, NC 27520-1651
Mailing address
PO Box 94
Clayton, NC 27528-0094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3 other providers at this address
About NPI 1336799246
Tieshquanna Ciare Richardson's National Provider Identifier is 1336799246, issued on Sep 13, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clayton, NC. The record was last updated on Sep 13, 2019.