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General NPI Number Information
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NPI Number | 1609789189
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Entity Type | Individual
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Provider Name | PAULA REAMES
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 2743 S RIVERWOOD DR
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City | TWIN LAKE
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State | MI
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Zip | 49457-9792
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Country | US
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Telephone | 231-206-0358
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Fax |
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Provider Business Mailing Address
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Address Line | 2763 LAKESHORE RD
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City | TWIN LAKE
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State | MI
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Zip | 49457-8914
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Country | US
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Telephone | 231-206-0358
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AS610420353
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License Number State | MI
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