Healthcare Provider Details

I. General information

NPI: 1659612380
Provider Name (Legal Business Name): RELIABILITY ADULT DAY HEALTH CARE L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2013
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 E 8TH ST
CROWLEY LA
70526-3815
US

IV. Provider business mailing address

PO BOX 93659
LAFAYETTE LA
70509-3659
US

V. Phone/Fax

Practice location:
  • Phone: 337-212-6806
  • Fax:
Mailing address:
  • Phone: 337-212-6806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number2203781585
License Number StateLA

VIII. Authorized Official

Name: DAYNESSES ELIZABETH CLUSE
Title or Position: DIRECTOR
Credential: L.P.N.
Phone: 337-212-6806