Organization
JACKSON-RICHMOND PROPERTIES LLC
Active
Other names
LITLE ANGELS Heavenly Hands
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIKA SHAKITA JACKSON-RICHMOND DNP, MSN,ED,RN (CEO)
(813) 352-8824
Entity
Organization
Contact information
Practice address
3420 DELEUIL AVE, TAMPA, FL 33610-3621
(813) 352-8824
Mailing address
3420 DELEUIL AVE, TAMPA, FL 33610-3621
(813) 352-8824
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
12/04/2024
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