SHYANNE RICHARDSON MSW NPI 1376085324

NPI Information

SHYANNE RICHARDSON MSW is a respite care and mental retardation and/or developmental disabilities respite care in Lakewood, CO. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. SHYANNE RICHARDSON MSW NPI is 1376085324. The provider is registered as an organization entity type.
The provider Is Doing Business As The Sidewalk Center.

The provider's business location address is:

895 LEWIS DR
LAKEWOOD, CO
ZIP 80215-724
Phone: (303) 931-0932

The provider's authorized official is Shyanne Richardson .
The authorized official title is Owner and has the following contact phone number (303) 931-0932.

The enumeration date for this NPI number is 11/8/2016 and was last updated on 11/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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