Organization
CHANDELIER STATUS HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIERA LESHAY RICHARDSON CNA (OWNER)
(352) 875-4353
Entity
Organization
Contact information
Practice address
8603 DARLINGTON DR, JACKSONVILLE, FL 32208-1838
(904) 274-3625
(904) 634-5612
Mailing address
8603 DARLINGTON DR, JACKSONVILLE, FL 32208-1838
(904) 274-3625
(904) 634-5612
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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