NPI: 1376085324
Provider Name: SHYANNE RICHARDSON MSW
Doing Business As: THE SIDEWALK CENTER
Classification: Respite Care - 385HR2060X
Entity Type: Organization
Specialization: Respite Care, Intellectual and/or Developmental Disabilities
Address:
895 LEWIS DR
LAKEWOOD, CO
ZIP 80215
Phone: (303) 931-0932
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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.