Provider Demographics
NPI:1922251461
Name:RELIABLE HOME MEDICAL SUPPLY
Entity Type:Organization
Organization Name:RELIABLE HOME MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHESNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-654-4664
Mailing Address - Street 1:924 EXETER AVE
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:PA
Mailing Address - Zip Code:18643-1215
Mailing Address - Country:US
Mailing Address - Phone:570-654-4664
Mailing Address - Fax:570-654-4666
Practice Address - Street 1:924 EXETER AVE
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:PA
Practice Address - Zip Code:18643-1215
Practice Address - Country:US
Practice Address - Phone:570-654-4664
Practice Address - Fax:570-654-4666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies