Individual
MR. MICHAEL L REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 ATKINS RD, RUSTON, LA 71270-8717
(318) 243-4050
Mailing address
370 TIMBER RIDGE DR, RUSTON, LA 71270-3578
(318) 243-4050
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15228
LA
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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