Provider Demographics
NPI:1295023224
Name:REAL LIFE SERVICES (RLS)
Entity Type:Organization
Organization Name:REAL LIFE SERVICES (RLS)
Other - Org Name:IRENE BURTON MAGEE-SALCIDO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:BURTON
Authorized Official - Last Name:MAGEE-SALCIDO
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BC
Authorized Official - Phone:254-913-1637
Mailing Address - Street 1:724 HWY 36 BYP N
Mailing Address - Street 2:
Mailing Address - City:GATESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76528-9603
Mailing Address - Country:US
Mailing Address - Phone:254-865-8828
Mailing Address - Fax:254-865-8828
Practice Address - Street 1:724 HWY 36 BYP N
Practice Address - Street 2:
Practice Address - City:GATESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76528-9603
Practice Address - Country:US
Practice Address - Phone:254-865-8828
Practice Address - Fax:254-865-8828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health