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Organization
REAVES HOME CARE SERVICES
Active
Organization
REAVES HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY S REAVES HOME HEALTH CARE (CNA)
(267) 303-3999
Entity
Organization
Contact information
Practice address
2502 TREES OF KENNESAW PKWY NW, KENNESAW, GA 30152-8220
(267) 303-3999
Mailing address
2502 TREES OF KENNESAW PKWY NW, KENNESAW, GA 30152-8220
(267) 303-3999
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
CN0014197375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN0014197375
CERTIFIED NURSES AIDE
GA
Enumeration date
06/04/2014
Last updated
06/04/2014
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