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Mrs. Candie Davis Richardson, LPN
Adult Care Home Facility in Havana, Florida
NPI 1912344003

Candie Davis Richardson is an Adult Care Home Facility based in Havana, FL and is specialized in Adult Care Home. Candie Davis Richardson practices in Havana, FL and has the professional credentials of LPN. The NPI Number for Candie Davis Richardson is 1912344003 and holds a License No. 6905367 (Florida).

The current practice location address for Candie Davis Richardson is 1748 Iron Bridge Rd, Havana, FL and can be reached out via phone at 850-539-3865 and via fax at 850-539-0736.

Location: 1748 Iron Bridge Rd, Havana, FL, 32333-5294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912344003
Provider Name
Candie Davis Richardson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1748 Iron Bridge Rd, Havana, FL, 32333-5294
Phone Number
850-539-3865
Fax Number
850-539-0736
Provider Enumeration Date
05/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1748 Iron Bridge Rd
City
Havana
State
Florida
Zip
32333-5294
Phone Number
850-539-3865
Fax Number
850-539-0736
person
Provider Business Mailing Address Details
Address
1748 Iron Bridge Rd
City
Havana
State
Florida
Zip
32333-5294
Phone Number
850-539-3865
Fax Number
850-539-0736
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6905367 (Florida)
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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