MEDICARE: NATURE'S REFLECTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639225113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURE'S REFLECTIONS, LLC

Provider Business Mailing Address
First Line	:	1007 BROAD ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-4143
Country	:	US
Telephone Number	:	919-477-2728
Fax Number	:	919-477-3938

Provider Business Practice Location Address
First Line	:	1007 BROAD ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-4143
Country	:	US
Telephone Number	:	919-477-2728
Fax Number	:	919-477-3938

Authorized Official
Title or Position	:	HR DIRECTOR
Name	:	MS. QUANTA DAVIS
Credential	:
Telephone Number	:	919-477-2728

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	02/06/2014

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