Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CANDIE DAVIS RICHARDSON, LPN
Active Sole ProprietorAssisted Living Facility · HAVANA, FL
Registration Details
- NPI Number
- 1912344003
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2013 (12.932056850782 yrs)
- Last Updated
- May 29, 2013
- License
-
6905367 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1748 IRON BRIDGE RDHAVANA, FL, 323335294Browse FL providers · Browse ZIP 32333
- Phone
- 8505393865
- Fax
- 8505390736
- 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.