Healthcare Provider Details

I. General information

NPI: 1730442377
Provider Name (Legal Business Name): RELIABLE HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 06/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PECAN HILL DR APT 5
CLINTON MS
39056-5250
US

IV. Provider business mailing address

200 PECAN HILL DR APT 5
CLINTON MS
39056-5250
US

V. Phone/Fax

Practice location:
  • Phone: 601-896-3388
  • Fax: 601-922-9422
Mailing address:
  • Phone: 601-896-3388
  • Fax: 601-922-9422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number997602
License Number StateMS

VIII. Authorized Official

Name: MS. TIFFANEY DIXSON
Title or Position: BUSINESS OWNER
Credential:
Phone: 601-896-3388