CANDIE DAVIS RICHARDSON

HAVANA, FL
NPI1912344003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL  6905367)
Enumeration Date2013-05-29
Last Update Date2013-05-29
Business Address
Mrs. CANDIE DAVIS RICHARDSON LPN
1748 IRON BRIDGE RD
HAVANA, FL 32333-5294
Phone number: 850-539-3865
Mailing Address
Mrs. CANDIE DAVIS RICHARDSON LPN
1748 IRON BRIDGE RD
HAVANA, FL 32333-5294
Phone number: 850-539-3865