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Debra Richards
Adult Care Home Facility in Jacksonville, Florida
NPI 1922554252

Debra Richards is an Adult Care Home Facility based in Jacksonville, FL and is specialized in Adult Care Home. Debra Richards practices in Jacksonville, FL. The NPI Number for Debra Richards is 1922554252 and holds a License No. (Florida).

The current practice location address for Debra Richards is 14121 Devan Lee Dr W, Jacksonville, FL and can be reached out via phone at 904-379-0354 and via fax at 904-551-5321.

Location: 14121 Devan Lee Dr W, Jacksonville, FL, 32226-5825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922554252
Provider Name
Debra Richards
Credential
Provider Entity Type
Individual
Gender
Female
Address
14121 Devan Lee Dr W, Jacksonville, FL, 32226-5825
Phone Number
904-379-0354
Fax Number
904-551-5321
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010788600 05 FL
institution
Provider Business Practice Location Address Details
Address
14121 Devan Lee Dr W
City
Jacksonville
State
Florida
Zip
32226
Phone Number
904-379-0354
Fax Number
904-551-5321
person
Provider Business Mailing Address Details
Address
14121 Devan Lee Dr W
City
Jacksonville
State
Florida
Zip
32226
Phone Number
904-379-0354
Fax Number
904-551-5321
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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