Healthcare Provider Details

I. General information

NPI: 1740385269
Provider Name (Legal Business Name): RELIABLE MEDICAL & HEALTHCARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 MILFORD MILL RD
PIKESVILLE MD
21208-6000
US

IV. Provider business mailing address

222 MILFORD MILL RD
PIKESVILLE MD
21208-6000
US

V. Phone/Fax

Practice location:
  • Phone: 410-602-6493
  • Fax: 410-602-8449
Mailing address:
  • Phone: 410-602-6493
  • Fax: 410-602-8449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberR2232
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. BERNADETTE NNEKA NWANGUMA
Title or Position: OWNER
Credential: RN
Phone: 410-602-6493