Healthcare Provider Details

I. General information

NPI: 1609789189
Provider Name (Legal Business Name): PAULA REAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2743 S RIVERWOOD DR
TWIN LAKE MI
49457-9792
US

IV. Provider business mailing address

2763 LAKESHORE RD
TWIN LAKE MI
49457-8914
US

V. Phone/Fax

Practice location:
  • Phone: 231-206-0358
  • Fax:
Mailing address:
  • Phone: 231-206-0358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAS610420353
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: