IndividualActive
Jaquelina Reyes
NPI 1700411576 · Foster Care Agency · Buckeye, AZ
Provider details
- NPI number
- 1700411576
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2656335 (AZ)
Specialties & taxonomies
Agencies
Respite Care Facility
Practice location
25279 W Centre Ave
Buckeye, AZ 85326-2468
Phone: (310) 985-9501
Fax: (602) 455-4624
Approximate (ZIP-level) locationGet directions
Mailing address
25279 W Centre Ave
Buckeye, AZ 85326-2468
Registry dates
- Enumerated
- 2020-03-11
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.