Individual provider · Type 1 NPI
Candie Davis Richardson, LPN
Adult Care Home Facility · Havana, FL
NPI number
1912344003
Active
Practice location
1748 Iron Bridge Rd
Havana, FL 32333-5294
Fax (850) 539-0736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6905367 (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.
About NPI 1912344003
Candie Davis Richardson, LPN's National Provider Identifier is 1912344003, issued on May 29, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Havana, FL. The record was last updated on May 29, 2013.