Lucas, Kandise

Lucas, Kandise is an sole proprietor health care provider with primary practice located at 10906 Sassafras Dr , North Prince George VA 23860-7607. She recently has 7 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Agencies / Case Management, Agencies / Public Health or Welfare, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Day Training/Habilitation Specialist, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Lucas, Kandise can be contacted via phone (804) 248-8656.

Contact Information

Primary practice address
10906 Sassafras Dr North Prince George VA 23860-7607
Phone: (804) 248-8656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X
Agencies / Case Management 251B00000X
Agencies / Public Health or Welfare 251K00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1821857467
LBN Legal business name Lucas, Kandise
Credentials B.A, MSED, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2024
Last updated Mar 18th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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