Provider Demographics
NPI:1609387505
Name:EMERALD RELIABLE HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:EMERALD RELIABLE HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:MGAZA
Authorized Official - Last Name:SEBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-721-1860
Mailing Address - Street 1:1801 SAINT GEORGES WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2299
Mailing Address - Country:US
Mailing Address - Phone:202-271-1860
Mailing Address - Fax:
Practice Address - Street 1:1801 SAINT GEORGES WAY
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2299
Practice Address - Country:US
Practice Address - Phone:202-271-1860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health