Healthcare Provider Details

I. General information

NPI: 1538087358
Provider Name (Legal Business Name): RELIANT MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 GEORGETOWNE DR
CLAYTON NC
27520-1846
US

IV. Provider business mailing address

PO BOX 20788
RALEIGH NC
27619-0788
US

V. Phone/Fax

Practice location:
  • Phone: 508-369-1722
  • Fax:
Mailing address:
  • Phone: 508-369-1722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: STELLAH RUDO CHINAMORA
Title or Position: CEO
Credential:
Phone: 508-369-1722