MR. Raymond B Hendricks
NPI #1144699646 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1144699646
- Entity Type
- Individual
- Name
- MR. Raymond B Hendricks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Sep 15, 2015
- Last Updated
- Sep 15, 2015
Practice Location
- Address
- 1306 ANNETTE ST
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33980
- Phone
- (941) 764-1572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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