Provider Demographics
NPI:1508177569
Name:RELIABLE MEDICAL & HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:RELIABLE MEDICAL & HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:NNEKA
Authorized Official - Last Name:NWANGUMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-602-6493
Mailing Address - Street 1:222 MILFORD MILL RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6000
Mailing Address - Country:US
Mailing Address - Phone:410-602-6493
Mailing Address - Fax:410-602-1002
Practice Address - Street 1:222 MILFORD MILL RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6000
Practice Address - Country:US
Practice Address - Phone:410-602-6493
Practice Address - Fax:410-602-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD095903100Medicaid