Provider Demographics
NPI:1134572290
Name:RELIANCE NURSING SERVICES LLC
Entity type:Organization
Organization Name:RELIANCE NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANA- AMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BONSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-916-6596
Mailing Address - Street 1:22942 SPICEBUSH DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-8406
Mailing Address - Country:US
Mailing Address - Phone:301-916-6596
Mailing Address - Fax:
Practice Address - Street 1:22942 SPICEBUSH DR
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-8406
Practice Address - Country:US
Practice Address - Phone:301-916-6596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health