Healthcare Provider Details

I. General information

NPI: 1245676089
Provider Name (Legal Business Name): RELIABLE STAFFING NETWORK, LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2013
Last Update Date: 05/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 SPRING HILL AVE
NORTHBRIDGE MA
01534-1104
US

IV. Provider business mailing address

43 SPRING HILL AVE
NORTHBRIDGE MA
01534-1104
US

V. Phone/Fax

Practice location:
  • Phone: 774-253-3198
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PETER KAMAU
Title or Position: ADMINISTRATOR
Credential:
Phone: 774-253-3198