Healthcare Provider Details

I. General information

NPI: 1356616171
Provider Name (Legal Business Name): RELIANT HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2012
Last Update Date: 03/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 SPRING MEADOW DR
WESTMINSTER MD
21158-4432
US

IV. Provider business mailing address

677 SPRING MEADOW DR
WESTMINSTER MD
21158-4432
US

V. Phone/Fax

Practice location:
  • Phone: 443-850-2323
  • Fax: 410-941-2766
Mailing address:
  • Phone: 443-850-2323
  • Fax: 410-941-2766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR3113
License Number StateMD

VIII. Authorized Official

Name: MR. BERNARD ASONGANYI MBEBOH
Title or Position: ADMINISTRATOR
Credential:
Phone: 443-850-2323