Provider Demographics
NPI:1215275052
Name:POSITIVE REACH
Entity type:Organization
Organization Name:POSITIVE REACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-579-2796
Mailing Address - Street 1:3475 BUCHANAN RD SE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-0459
Mailing Address - Country:US
Mailing Address - Phone:423-579-2796
Mailing Address - Fax:
Practice Address - Street 1:3505 ADKISSON DR NW STE 165
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-6807
Practice Address - Country:US
Practice Address - Phone:423-339-5590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care