Provider Demographics
NPI:1447416698
Name:RELIABLE HEALTHCARE AGENCY INC.
Entity Type:Organization
Organization Name:RELIABLE HEALTHCARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:VEDETTE
Authorized Official - Last Name:LICIN-VALERIUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:866-790-7799
Mailing Address - Street 1:PO BOX 767
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-0767
Mailing Address - Country:US
Mailing Address - Phone:866-790-7799
Mailing Address - Fax:973-371-7930
Practice Address - Street 1:20 41ST ST
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1255
Practice Address - Country:US
Practice Address - Phone:866-790-7799
Practice Address - Fax:973-371-8339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1260088251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health