Provider Demographics
NPI:1568778199
Name:REFLECTIONS ADULT DAYCARE & SPECIALITY SERVICES LLC
Entity Type:Organization
Organization Name:REFLECTIONS ADULT DAYCARE & SPECIALITY SERVICES LLC
Other - Org Name:REFLECTIONS ADULT DAYCARE & SPECIALITY SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:662-719-5022
Mailing Address - Street 1:548 HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:RULEVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38771-9729
Mailing Address - Country:US
Mailing Address - Phone:662-719-5022
Mailing Address - Fax:
Practice Address - Street 1:548 HIGHWAY 8
Practice Address - Street 2:
Practice Address - City:RULEVILLE
Practice Address - State:MS
Practice Address - Zip Code:38771-9729
Practice Address - Country:US
Practice Address - Phone:662-719-5022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care