Healthcare Provider Details

I. General information

NPI: 1528487691
Provider Name (Legal Business Name): RELIABLE RESPONSE STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 04/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 E RAINES RD
MEMPHIS TN
38116-6336
US

IV. Provider business mailing address

8231 CRAVEN RD
ARLINGTON TN
38002-3920
US

V. Phone/Fax

Practice location:
  • Phone: 501-813-1113
  • Fax:
Mailing address:
  • Phone: 601-813-1113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number114001592
License Number StateTN

VIII. Authorized Official

Name: MARY FORD
Title or Position: DIRECTOR/ OWNER
Credential: MSN
Phone: 601-813-1113