Doctor Name: | MRS. GERALDINE REESE |
NPI Number: | 1013174978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3700 Edgehill Cir Nw Canton, OH - 447092232 |
Business Phone Number: | 3304919848 |
Business Fax Number: | 3304919848 |
Mailing Address: | 3700 Edgehill Cir Nw, CANTON |
State: | OH |
Postal Code: | 447092232 |
Phone Number: | 3304919848 |
Fax Number: | 3304919848 |
NPI Enumeration Date: | 05/19/2008 |
NPI Last Update Date: | 05/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 177F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Lodging |
Taxonomy Specialization: | |
Taxonomy Definition: | A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |