Organization
REFLECTED GRACE, LLC
Active
Other names
Reflected Grace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L REYNOLDS (OWNER)
(318) 243-4050
Entity
Organization
Contact information
Practice address
2913 NORTH TRENTON STREET, RUSTON, LA 71270
(318) 243-4050
Mailing address
370 TIMBER RIDGE DR, RUSTON, LA 71270-3578
(318) 243-4050
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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