Reflected Grace, LLC
In Home Supportive Care in Ruston, LA. Organization (NPI-2).
NPI number1740961499
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1740961499
- Entity type
- Organization (NPI-2)
- Legal business name
- Reflected Grace, LLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2023
- Certification date
- Jul 23, 2023
- Last updated
- Jul 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Reflected Grace (Doing Business As)
Practice location
2913 North 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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