Healthcare Provider Details

I. General information

NPI: 1093930349
Provider Name (Legal Business Name): RELIABLE MEDICAL SUPPY & HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1642 S PARKER RD SUITE 110
DENVER CO
80231-2915
US

IV. Provider business mailing address

1642 S PARKER RD SUITE 110
DENVER CO
80231-2915
US

V. Phone/Fax

Practice location:
  • Phone: 303-755-0277
  • Fax:
Mailing address:
  • Phone: 303-755-0277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number4248537
License Number StateCO

VIII. Authorized Official

Name: NNEKA OKOLI HARRY OKOLI
Title or Position: CEO
Credential:
Phone: 303-755-0277