Provider Demographics
NPI:1295527026
Name:JOHN REESE LEGACY POINT
Entity type:Organization
Organization Name:JOHN REESE LEGACY POINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAYLESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDELL
Authorized Official - Suffix:
Authorized Official - Credentials:DSP
Authorized Official - Phone:614-930-7263
Mailing Address - Street 1:1135 OLMSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3026
Mailing Address - Country:US
Mailing Address - Phone:614-930-7263
Mailing Address - Fax:
Practice Address - Street 1:1135 OLMSTEAD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-3026
Practice Address - Country:US
Practice Address - Phone:614-930-7263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility