Provider Demographics
NPI:1982244513
Name:BRINK-RELIABLE MEDICAL CARE
Entity Type:Organization
Organization Name:BRINK-RELIABLE MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:229-630-8597
Mailing Address - Street 1:3725 PRINCETON LAKES PKWY SW APT 7304
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-5564
Mailing Address - Country:US
Mailing Address - Phone:229-630-8597
Mailing Address - Fax:404-565-1928
Practice Address - Street 1:3725 PRINCETON LAKES PKWY SW APT 7304
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-5564
Practice Address - Country:US
Practice Address - Phone:229-630-8597
Practice Address - Fax:404-565-1928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty