| Sandra Reese Incorporated | |
|
911 S Baker St Mountain Home AR 72653-4711 | |
| (870) 321-2544 | |
| Not Available |
| Full Name | Sandra Reese Incorporated |
|---|---|
| Speciality | Social Worker |
| Location | 911 S Baker St, Mountain Home, Arkansas |
| Authorized Official Name and Position | Sandra Reese (OWNER) |
| Authorized Official Contact | 8703212544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Reese Incorporated 911 S Baker St Mountain Home AR 72653-4711 Ph: (870) 321-2544 | Sandra Reese Incorporated 911 S Baker St Mountain Home AR 72653-4711 Ph: (870) 321-2544 |
| NPI Number | 1003384025 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Medicare PECOS PAC ID | 6406190628 |
|---|---|
| Medicare Enrollment ID | O20181129000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003384025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Sandra K Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255414595 PECOS PAC ID: 1052662376 Enrollment ID: I20180926001924 |
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