Organization
THE ANTWAN DOMINIQUE REESE FOUNDATION,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE HAYNES (PRESIDENT/CEO)
(678) 446-0352
Entity
Organization
Contact information
Practice address
300 S 6TH ST, MILLVILLE, NJ 08332-5347
(678) 446-0352
Mailing address
300 S 6TH ST, MILLVILLE, NJ 08332-5347
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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