Individual ProviderTakara Leigh RichardStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland St, Boston, MA 02111-1527(617) 636-6828(484) 681-3230PECOS EnrollmentBased on the most recent information from CMS, provider Takara Leigh Richard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1063262608Provider TypeIndividualFull NameRichard, Takara LeighGenderFemaleSole ProprietorYesEnumeration Date3/26/2024Last Updated3/26/2024Contact InformationPractice LocationPractice Address1 Kneeland St, Boston, MA 02111-1527Phone(617) 636-6828FaxUnlisted FaxMailing LocationMailing Address98 Charles St Apt 9, Boston, MA 02114-4628Phone(484) 681-3230FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer