NPI 1083326706

Reserevelations, LLC

Organisation Voluntary or Charitable Agency Dayton, OH

Practice location

Address: 31 S Main St, Dayton, OH 45402-2070
Phone: (937) 860-1038
Fax: (270) 203-0587

Authorised official

Name: De'Rese Zyire Gooden
Title: Ceo, Owner & Director
Phone: (937) 860-1038

Registered specialties (8)

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Public Health or Welfare Agency

Agencies Taxonomy 251K00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Chore Provider

Nursing Service Related Providers Taxonomy 372500000X

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Registry record

NPI: 1083326706
Entity type: Organization
NPI issued: 14 Dec 2022
Record last updated: 5 Jan 2025

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.