Patricia Reyes, PROVIDER
Individual provider Active NPI Foster Care Agency · MC Clure, OH
NPI 1366969347 · NPPES record last updated Aug 29, 2017
Key facts
- NPI
- 1366969347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- Practice address
- 735 S Haley St
MC Clure, OH 43534-7712 - Phone
- (419) 308-8815
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Yes |
Addresses
Primary practice location
735 S Haley St
MC Clure, OH 43534-7712
Mailing address
PO Box 71
MC Clure, OH 43534-0071
Other providers in MC Clure, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.