Healthcare Provider Details

I. General information

NPI: 1326983420
Provider Name (Legal Business Name): RELIANT SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 OLNEY SANDY SPRING RD
OLNEY MD
20832-1604
US

IV. Provider business mailing address

2611 OLNEY SANDY SPRING RD
OLNEY MD
20832-1604
US

V. Phone/Fax

Practice location:
  • Phone: 972-447-9800
  • Fax:
Mailing address:
  • Phone: 972-447-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: AUSTIN LANHAM
Title or Position: CHIEF LEGAL & ADMIN OFFICER
Credential:
Phone: 972-295-9668