Provider Demographics
NPI:1285250241
Name:HAYNES, REBEKHA CHERYL JEAN
Entity type:Individual
Prefix:
First Name:REBEKHA
Middle Name:CHERYL JEAN
Last Name:HAYNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 VICTORY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03235-1116
Mailing Address - Country:US
Mailing Address - Phone:603-331-3627
Mailing Address - Fax:
Practice Address - Street 1:348 VICTORY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235-1116
Practice Address - Country:US
Practice Address - Phone:603-331-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide