Tyquan Richardson
Tyquan Richardson is a Home Health Aide in Scranton, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.
- Licensed in
- SC
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3011 Old Creek RdScranton, SC 29591-5652
Phone: (843) 598-6480
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence 99-3873048 (SC) |
|---|---|
| Home Health Aide | Taxonomy 374U00000X · Licence 251E00000X (SC) |
Record details
| NPI number | 1790521771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 8, 2024 |
| Last updated in NPPES | July 8, 2024 |
| Certification date | July 8, 2024 |
| Mailing address | 3011 Old Creek Rd, Scranton, SC 29591-5652 |