Healthcare Provider Details

I. General information

NPI: 1053021956
Provider Name (Legal Business Name): RELIANCE HOME CARE AGENCY OF OXFORD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 RALEIGH ST
OXFORD NC
27565-3738
US

IV. Provider business mailing address

614 RALEIGH ST
OXFORD NC
27565-3738
US

V. Phone/Fax

Practice location:
  • Phone: 919-672-2814
  • Fax: 252-598-0660
Mailing address:
  • Phone: 919-672-2814
  • Fax: 252-598-0660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. LABRICIA WILLIAMS HODGES
Title or Position: OWNER
Credential: MSN
Phone: 919-672-2814