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Organization

REYNOLDS CARE SUPPORT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHANIEL PURCELL REYNOLDS JR. (OWNER)
(336) 324-7931
Entity
Organization

Contact information

Practice address
207 N MAIN ST STE B, WALNUT COVE, NC 27052-9201
(336) 324-7931
Mailing address
PO BOX 4629, EDEN, NC 27289-4629
(336) 324-7931

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
05/14/2009
Last updated
05/14/2009
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