Riley, Lawana

Riley, Lawana is an sole proprietor health care provider with primary practice located at 7253 Koleda Dr , Jacksonville FL 32210-2648. She recently has 7 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Riley, Lawana can be contacted via phone (904) 258-4328.

Contact Information

Primary practice address
7253 Koleda Dr Jacksonville FL 32210-2648
Phone: (904) 258-4328
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1851066492
LBN Legal business name Riley, Lawana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2021
Last updated Aug 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851066492 NPPES
Florida MEDICAID 023167400

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