Organization
NICOLE REEVES
Active
Other names
reeves manor llc
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE REEVES (OWNER)
(850) 305-6697
Entity
Organization
Contact information
Practice address
2199 HAGOOD LOOP, CRESTVIEW, FL 32536-5458
(850) 305-6697
Mailing address
2199 HAGOOD LOOP, CRESTVIEW, FL 32536-5458
(850) 305-6697
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6906923
FL
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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