Organization
RELIANT MEDICAL SUPPLIER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME M HAMM (MEMBER)
(859) 241-6001
Entity
Organization
Contact information
Practice address
105 EDGEWOOD PLAZA DR STE C, NICHOLASVILLE, KY 40356-1863
(859) 241-6001
(859) 241-6049
Mailing address
105 EDGEWOOD PLAZA DR STE C, NICHOLASVILLE, KY 40356-1863
(859) 241-6001
(859) 241-6049
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/24/2021
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