Provider Demographics
NPI:1093543373
Name:RICHARDS, JOY R (CNA)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:R
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MISS
Other - First Name:JOY
Other - Middle Name:R
Other - Last Name:HARMOND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 588
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33443-0588
Mailing Address - Country:US
Mailing Address - Phone:954-778-6554
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 588
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33443-0588
Practice Address - Country:US
Practice Address - Phone:954-778-6554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL252545376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide