Healthcare Provider Details

I. General information

NPI: 1528225117
Provider Name (Legal Business Name): RELIABLE HOME IMPROVEMENTS OF OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4111 SINTZ RD
SPRINGFIELD OH
45504-3811
US

IV. Provider business mailing address

4111 SINTZ RD
SPRINGFIELD OH
45504-3811
US

V. Phone/Fax

Practice location:
  • Phone: 937-324-6300
  • Fax:
Mailing address:
  • Phone: 937-324-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. BRYAN WELLMANN
Title or Position: PRESIDENT OF S CORP
Credential:
Phone: 937-324-6300