Richards, Debra
Richards, Debra is an sole proprietor health care provider with primary practice located at 14121 Devan Lee Dr W , Jacksonville FL 32226. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Richards, Debra can be contacted via phone (904) 379-0354.Contact Information
Primary practice address
14121 Devan Lee Dr W
Jacksonville FL 32226
Phone: (904) 379-0354
Fax: (904) 551-5321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ||
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 6906683 | Florida |
Profile Details
| NPI number | 1922554252 |
|---|---|
| LBN Legal business name | Richards, Debra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2016 |
| Last updated | Jan 27th, 2019 - about 6 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922554252 | NPPES |
| Florida | MEDICAID | 010788600 |
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