Tice Ridley - Dade City, FL

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.

Location: 19717 Bower Rd, Dade City, FL, 33744-0406

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

Address

19717 Bower Rd

City

Dade City

State

Florida

Zip

33523-6867

Phone Number

773-859-9006

Fax Number

727-499-7526

Address

19717 Bower Rd

City

Dade City

State

Florida

Zip

33523-6867

Phone Number

773-859-9006

Fax Number

727-499-7526

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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