Provider Demographics
NPI:1124404249
Name:RELIABLE DME SERVICES, LLC
Entity Type:Organization
Organization Name:RELIABLE DME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:A.
Authorized Official - Middle Name:KEL
Authorized Official - Last Name:LONG
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:404-895-7443
Mailing Address - Street 1:1010 N TENNESSEE ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-8525
Mailing Address - Country:US
Mailing Address - Phone:770-334-8752
Mailing Address - Fax:470-227-7075
Practice Address - Street 1:1010 N TENNESSEE ST
Practice Address - Street 2:SUITE 111
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8525
Practice Address - Country:US
Practice Address - Phone:770-334-8752
Practice Address - Fax:470-227-7075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies