Provider Demographics
NPI:1053544098
Name:RELIABLE SKILL NURSES, LLC
Entity type:Organization
Organization Name:RELIABLE SKILL NURSES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:MATA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:520-889-1328
Mailing Address - Street 1:537 N. 6TH AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-7710
Mailing Address - Country:US
Mailing Address - Phone:520-889-1328
Mailing Address - Fax:520-889-2355
Practice Address - Street 1:537 N. 6TH AVE
Practice Address - Street 2:SUITE E
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-7710
Practice Address - Country:US
Practice Address - Phone:520-889-1328
Practice Address - Fax:520-889-2355
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RELIABLE NURSES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-25
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA4414251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health