Provider Demographics
NPI:1437570934
Name:REESE, FRANCINE A
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:A
Last Name:REESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5320 MOFFETT ROAD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36618
Mailing Address - Country:US
Mailing Address - Phone:251-583-6471
Mailing Address - Fax:251-348-7165
Practice Address - Street 1:5330 MOFFETT RD
Practice Address - Street 2:5320 MOFFETT ROAD
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36618-2904
Practice Address - Country:US
Practice Address - Phone:251-583-6471
Practice Address - Fax:251-348-7165
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities