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Lakisha Danyel Richo
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1013413533

Lakisha Danyel Richo is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, FL. Lakisha Danyel Richo practices in Jacksonville, FL. The NPI Number for Lakisha Danyel Richo is 1013413533 and holds a License No. (Florida).

The current practice location address for Lakisha Danyel Richo is 2871 Alaskan Way, Jacksonville, FL and can be reached out via phone at 904-465-9005.

Location: 2871 Alaskan Way, Jacksonville, FL, 32226-6755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013413533
Provider Name
Lakisha Danyel Richo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2871 Alaskan Way, Jacksonville, FL, 32226-6755
Phone Number
904-465-9005
Fax Number
Provider Enumeration Date
04/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2871 Alaskan Way
City
Jacksonville
State
Florida
Zip
32226-5849
Phone Number
904-465-9005
Fax Number
person
Provider Business Mailing Address Details
Address
2871 Alaskan Way
City
Jacksonville
State
Florida
Zip
32226-5849
Phone Number
904-465-9005
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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