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Organization
RICHARDSON SERVICES LLC
Active
Organization
RICHARDSON SERVICES LLC
Active
Other names
Richardson Homes and Healthcare, Richardson Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MINESHA RICHARDSON (ADMINISTRATOR)
(972) 210-5093
Entity
Organization
Contact information
Practice address
3419 WESTMINSTER AVE # 1013, DALLAS, TX 75205-1387
(972) 210-5093
Mailing address
3419 WESTMINSTER AVE # 1013, DALLAS, TX 75205-1387
(972) 210-5093
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35857158
PRAVITE PAY
TX
05
—
35857158
—
TX
Enumeration date
03/03/2023
Last updated
03/03/2023
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