Provider Demographics
NPI:1568178788
Name:RELIANCE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:RELIANCE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:DAMONE
Authorized Official - Last Name:FAIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-237-6541
Mailing Address - Street 1:9700 RESEARCH DR STE 138
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-8585
Mailing Address - Country:US
Mailing Address - Phone:980-237-6541
Mailing Address - Fax:888-342-7465
Practice Address - Street 1:1224 BIGGS ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5012
Practice Address - Country:US
Practice Address - Phone:910-501-3045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care