Provider Demographics
NPI:1376701482
Name:KATHLEEN R REIFF RNFA LLC
Entity Type:Organization
Organization Name:KATHLEEN R REIFF RNFA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:REIFF
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:609-207-1320
Mailing Address - Street 1:404 ENGLESIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BEACH HAVEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08008-1729
Mailing Address - Country:US
Mailing Address - Phone:609-207-1320
Mailing Address - Fax:
Practice Address - Street 1:404 ENGLESIDE AVE
Practice Address - Street 2:
Practice Address - City:BEACH HAVEN
Practice Address - State:NJ
Practice Address - Zip Code:08008-1729
Practice Address - Country:US
Practice Address - Phone:609-207-1320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO08634100163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty