Provider Demographics
NPI:1609011956
Name:RELIANT HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:RELIANT HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EHANIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-534-1414
Mailing Address - Street 1:1401 E MACDADE BLVD
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033
Mailing Address - Country:US
Mailing Address - Phone:610-534-1414
Mailing Address - Fax:
Practice Address - Street 1:1401 E MACDADE BLVD.
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033
Practice Address - Country:US
Practice Address - Phone:610-534-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-15
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03440501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health