| Reynolds Care Support, Llc | |
|
104 The Blvd Eden NC 27288-4704 | |
| (336) 627-3336 | |
| Not Available |
| Full Name | Reynolds Care Support, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 104 The Blvd, Eden, North Carolina |
| Authorized Official Name and Position | Nathaniel Purcell Reynolds (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 3363247931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reynolds Care Support, Llc 104 The Blvd Eden NC 27288-4704 Ph: (336) 627-3336 | Reynolds Care Support, Llc 104 The Blvd Eden NC 27288-4704 Ph: (336) 627-3336 |
| NPI Number | 1932349016 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 03/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932349016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | FCL-079-071 (North Carolina) | Primary |
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