Healthcare Provider Details

I. General information

NPI: 1366967051
Provider Name (Legal Business Name): RELIABLE HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 VERNON CIR
BRANDON MS
39042-2563
US

IV. Provider business mailing address

586 LAKELAND EAST DR STE A
FLOWOOD MS
39232-9028
US

V. Phone/Fax

Practice location:
  • Phone: 601-559-9071
  • Fax:
Mailing address:
  • Phone: 601-707-7121
  • Fax: 601-510-9806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: VERLENCIA R MYERS
Title or Position: OWNER
Credential: RN
Phone: 601-559-9071