Reella Lee Burrell
Reella Lee Burrell is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2017
Practice location Address checks out
6345 Angling RdPortage, MI 49024-1703
Phone: (269) 312-8885
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence AF390382592 (MI) |
|---|
Record details
| NPI number | 1184143463 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 18, 2017 |
| Last updated in NPPES | September 18, 2017 |
| Mailing address | 6345 Angling Rd, Portage, MI 49024-1703 |
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