Healthcare Provider Details

I. General information

NPI: 1376840645
Provider Name (Legal Business Name): RELAY STAFFING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 08/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 E 53RD ST SUITE A
DAVENPORT IA
52807-2665
US

IV. Provider business mailing address

933 E 53RD ST SUITE A
DAVENPORT IA
52807-2665
US

V. Phone/Fax

Practice location:
  • Phone: 563-322-2554
  • Fax: 563-322-2557
Mailing address:
  • Phone: 563-322-2554
  • Fax: 563-322-2557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KAITLYN E O'REILLY
Title or Position: DIRECTOR
Credential:
Phone: 563-322-2554