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Tice Ridley
Adult Care Home Facility in Dade City, Florida
NPI 1285258368

Tice Ridley is an Adult Care Home Facility based in Bay Pines, FL and is specialized in Adult Care Home. Tice Ridley practices in Dade City, FL. The NPI Number for Tice Ridley is 1285258368 and holds a License No. (Florida).

The current practice location address for Tice Ridley is 19717 Bower Rd, Dade City, FL and can be reached out via phone at 773-859-9006 and via fax at 727-499-7526. You can also correspond with Tice Ridley through the mailing address at PO BOX 406, BAY PINES, FL - 33744-0406 (mailing address contact number: 866-410-3774).

Location: 19717 Bower Rd, Dade City, FL, 33744-0406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285258368
Provider Name
Tice Ridley
Credential
Provider Entity Type
Individual
Gender
Male
Address
19717 Bower Rd, Dade City, FL, 33744-0406
Phone Number
773-859-9006
Fax Number
727-499-7526
Provider Enumeration Date
06/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19717 Bower Rd
City
Dade City
State
Florida
Zip
33523-6867
Phone Number
773-859-9006
Fax Number
727-499-7526
person
Provider Business Mailing Address Details
Address
19717 Bower Rd
City
Dade City
State
Florida
Zip
33523-6867
Phone Number
773-859-9006
Fax Number
727-499-7526
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
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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