Organization
RESEREVELATIONS, LLC
Active
Other names
RRc3 Multilevel Firm, Inc, MKC Reality, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DE'RESE ZYIRE GOODEN NCC, LCMHC, CCHT (CEO, OWNER & DIRECTOR)
(937) 860-1038
Entity
Organization
Contact information
Practice address
31 S MAIN ST, DAYTON, OH 45402-2070
(937) 860-1038
(270) 203-0587
Mailing address
31 S MAIN ST, DAYTON, OH 45402-2070
(937) 860-1038
(270) 203-0587
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307155
—
OH
Enumeration date
12/14/2022
Last updated
01/05/2025
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