Provider Demographics
NPI:1174948954
Name:RELIANCE HEALTHCARE INC
Entity type:Organization
Organization Name:RELIANCE HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MADUABUCHI
Authorized Official - Middle Name:PRINCE
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-900-2906
Mailing Address - Street 1:1 CENTER SQ
Mailing Address - Street 2:SUITE 12
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 CENTER SQ
Practice Address - Street 2:SUITE 12
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3013
Practice Address - Country:US
Practice Address - Phone:410-900-2906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health