Reflected Grace, LLC
Case Management in Ruston, LA. Organization (NPI-2).
NPI number1033892997
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1033892997
- Entity type
- Organization (NPI-2)
- Legal business name
- Reflected Grace, LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2023
- Certification date
- Jul 27, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Other names
- Reflected Grace (Doing Business As)
Practice location
2913 N. Trenton StreetRuston, LA 71270
Phone 318-243-4050
Mailing address
370 Timber Ridge DrRuston, LA 71270-3578
Phone 318-243-4050
Authorized official
Michael L Reynolds
Owner
3182434050
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