NPI 1013413533

Lakisha Danyel Richo

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jacksonville, FL

Practice location

Address: 2871 Alaskan Way, Jacksonville, FL 32226-5849
Phone: (904) 465-9005
Mailing address: PO Box 26755, Jacksonville, FL 32226-6755

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1013413533
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2018
Record last updated: 27 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.