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Tieshquanna Ciare Richardson
Assisted Living Facility in Clayton, North Carolina
NPI 1336799246

Tieshquanna Ciare Richardson is an Assisted Living Facility based in Clayton, NC. Tieshquanna Ciare Richardson practices in Clayton, NC. The NPI Number for Tieshquanna Ciare Richardson is 1336799246 and holds a License No. (North Carolina).

The current practice location address for Tieshquanna Ciare Richardson is 312 Kilgo St, Clayton, NC and can be reached out via phone at 919-809-0852. You can also correspond with Tieshquanna Ciare Richardson through the mailing address at PO BOX 94, CLAYTON, NC - 27528-0094 (mailing address contact number: 919-809-0852).

Location: 312 Kilgo St, Clayton, NC, 27528-0094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336799246
Provider Name
Tieshquanna Ciare Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
312 Kilgo St, Clayton, NC, 27528-0094
Phone Number
919-809-0852
Fax Number
Provider Enumeration Date
09/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
312 Kilgo St
City
Clayton
State
North Carolina
Zip
27520-1651
Phone Number
919-809-0852
Fax Number
person
Provider Business Mailing Address Details
Address
312 Kilgo St
City
Clayton
State
North Carolina
Zip
27520-1651
Phone Number
919-809-0852
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
(North Carolina)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(North Carolina)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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