Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TICE RIDLEY
Active Sole ProprietorTICE RIDLEY is a Assisted Living Facility healthcare provider located in DADE CITY, Florida. NPI 1285258368 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · DADE CITY, FL
Registration Details
- NPI Number
- 1285258368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2020 (6.2328476401478 yrs)
- Last Updated
- Jun 3, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
19717 BOWER RDDADE CITY, FL, 335236867Browse FL providers · Browse ZIP 33523
- Phone
- 7738599006
- Fax
- 7274997526
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.