Individual
RICKAYE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1637 WALNUT ST, JACKSONVILLE, FL 32206-4640
(904) 508-5056
Mailing address
1637 WALNUT ST, JACKSONVILLE, FL 32206-4640
(904) 508-5056
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
FL
172V00000X
Community Health Worker
—
FL
251E00000X
Home Health Agency
—
FL
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
FL
372500000X
Chore Provider
—
FL
372600000X
Adult Companion
—
FL
374U00000X
Home Health Aide
—
FL
376J00000X
Homemaker
—
FL
385H00000X
Respite Care
—
FL
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
FL
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003430300
—
FL
Enumeration date
03/20/2019
Last updated
05/22/2019
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