Individual
MR. VINCENT REAVES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7527 E RAYMOND ST, INDIANAPOLIS, IN 46239-9513
(317) 531-8769
Mailing address
7527 E RAYMOND ST, INDIANAPOLIS, IN 46239-9513
(317) 531-8769
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
210151751
IN
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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