The Antwan Dominique Reese Foundation,Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

THE ANTWAN DOMINIQUE REESE FOUNDATION,INC

Practice address

300 S 6TH St
Millville, NJ 08332-5347

Phone

(678) 446-0352

NPI assigned

Apr 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dionne Haynes

Title

President/Ceo

Phone

(678) 446-0352

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459555200000",
    "number": "1679936082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 6TH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083325347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 6TH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083325347",
            "telephone_number": "678-446-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANTWAN DOMINIQUE REESE FOUNDATION,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-02",
        "last_updated": "2016-04-02",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "678-446-0352"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Millville, NJ
• Providers in Millville, NJ by specialty
• Respite Care in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.