Provider Demographics
NPI:1154602373
Name:REYNOLDS & ASSOCIATE
Entity type:Organization
Organization Name:REYNOLDS & ASSOCIATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-673-5272
Mailing Address - Street 1:P. O. BOX 681482
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-1482
Mailing Address - Country:US
Mailing Address - Phone:615-673-5272
Mailing Address - Fax:
Practice Address - Street 1:412 CANNONADE CIR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-1829
Practice Address - Country:US
Practice Address - Phone:615-673-5272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care