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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REELLA LEE BURRELL

Active Sole Proprietor

REELLA LEE BURRELL is a Emotionally Disturbed Children Residential Treatment healthcare provider located in PORTAGE, Michigan. NPI 1184143463 is currently active in the NPPES registry. Verify at CMS.

Emotionally Disturbed Children Residential Treatment · PORTAGE, MI

Registration Details

NPI Number
1184143463
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2017 (8.9492171448187 yrs)
Last Updated
Sep 18, 2017
License
AF390382592 (MI)
Sole Proprietor
Yes

Practice Information

Address
6345 ANGLING RD
PORTAGE, MI, 490241703
Browse MI providers · Browse ZIP 49024
Phone
2693128885
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.