Provider Demographics
NPI:1598360034
Name:REALITYCARE HEALTH SERVICES
Entity type:Organization
Organization Name:REALITYCARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NNAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-929-0892
Mailing Address - Street 1:3220 RIDGEWAY PL
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1021
Mailing Address - Country:US
Mailing Address - Phone:443-929-0892
Mailing Address - Fax:
Practice Address - Street 1:3220 RIDGEWAY PL
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1021
Practice Address - Country:US
Practice Address - Phone:443-929-0892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health