Healthcare Provider Details

I. General information

NPI: 1154690279
Provider Name (Legal Business Name): RELIABILITY SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2011
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 CHANDLER ST
DETROIT MI
48202-2824
US

IV. Provider business mailing address

43115 STRAND DR
STERLING HEIGHTS MI
48313-2754
US

V. Phone/Fax

Practice location:
  • Phone: 313-664-0465
  • Fax: 313-664-0462
Mailing address:
  • Phone: 313-664-0465
  • Fax: 313-664-0462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMI

VIII. Authorized Official

Name: MS. NAKISHIA WARD
Title or Position: CEO
Credential:
Phone: 313-664-0465