Provider Demographics
NPI:1578885885
Name:RELIABLE NURSES SERVICES
Entity Type:Organization
Organization Name:RELIABLE NURSES SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSAQUOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-762-9395
Mailing Address - Street 1:18 MARWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2907
Mailing Address - Country:US
Mailing Address - Phone:301-762-9395
Mailing Address - Fax:
Practice Address - Street 1:18 MARWOOD CT
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2907
Practice Address - Country:US
Practice Address - Phone:301-762-9395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-28
Last Update Date:2010-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2844251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD24377OtherOHCQ