Individual
NICOLE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 S HAMILTON ST STE 108, SAGINAW, MI 48602-1516
(989) 372-1002
Mailing address
804 S HAMILTON ST STE 108, SAGINAW, MI 48602-1516
(989) 372-1002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/18/2024
Last updated
05/29/2024
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