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Organization

REEVES MANOR LLC

Active
Other names
Reeves Manor LLC
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE A REEVES (OWNER)
(850) 305-6697
Entity
Organization

Contact information

Practice address
650 INDUSTRIAL DRIVE, CRESTVIEW, FL 32539-2208
(850) 398-6233
(850) 331-3670
Mailing address
650 INDUSTRIAL DRIVE, CRESTVIEW, FL 32539-2208
(850) 398-6233
(850) 331-3670

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110926900
FL
Enumeration date
12/03/2021
Last updated
12/07/2021
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