Organization
RELIANCE HEALTH SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA A ASAD (MANAGING MEMBER)
(336) 844-4684
Entity
Organization
Contact information
Practice address
2 TERRACE WAY STE D, BOX #10, GREENSBORO, NC 27403-3663
(336) 844-4684
(336) 740-9342
Mailing address
2 TERRACE WAY STE D, BOX #10, GREENSBORO, NC 27403-3663
(336) 844-4684
(336) 740-9342
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC6442
NC
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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