Provider Demographics
NPI:1700049111
Name:RELIANT HOME HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:RELIANT HOME HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LATINWO
Authorized Official - Suffix:
Authorized Official - Credentials:BS ENG
Authorized Official - Phone:909-931-5100
Mailing Address - Street 1:8880 BENSON AVE
Mailing Address - Street 2:SUITE 118
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-1651
Mailing Address - Country:US
Mailing Address - Phone:909-931-5100
Mailing Address - Fax:909-931-5188
Practice Address - Street 1:8880 BENSON AVE
Practice Address - Street 2:SUITE 118
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-1651
Practice Address - Country:US
Practice Address - Phone:909-931-5100
Practice Address - Fax:909-931-5188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health