Whalio Doctors

NPI 1033892997

Reflected Grace, LLC

Organisation Case Management Agency Ruston, LA

Practice location

Address
2913 N. Trenton Street, Ruston, LA 71270
Phone
(318) 243-4050
Mailing address
370 Timber Ridge Dr, Ruston, LA 71270-3578

Authorised official

Name
Michael L Reynolds
Title
Owner
Phone
(318) 243-4050

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X

Registry record

NPI
1033892997
Entity type
Organization
NPI issued
8 Aug 2023
Record last updated
8 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.