Provider Demographics
NPI:1558851618
Name:RELIABLE RESPIRATORY, INC.
Entity Type:Organization
Organization Name:RELIABLE RESPIRATORY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FALKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-551-3335
Mailing Address - Street 1:1502 PROVIDENCE HWY STE 10
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4643
Mailing Address - Country:US
Mailing Address - Phone:781-551-3335
Mailing Address - Fax:781-987-8206
Practice Address - Street 1:311 DARLING AVENUE
Practice Address - Street 2:BUILDING B, SUITE B-47
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106
Practice Address - Country:US
Practice Address - Phone:781-551-3335
Practice Address - Fax:781-987-8206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMGD80001171332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMGD80001171OtherMAINE BOARD OF PHARMACY