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Organization
RELIABLE ASSISTED LIVING AND TRAINING
Active
Organization
RELIABLE ASSISTED LIVING AND TRAINING
Active
Other names
Reliable Assisted living and Training
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GILLIS (OWNER/DIRECTOR OF NURSING)
(443) 561-6445
Entity
Organization
Contact information
Practice address
3703 KINGS POINT RD, RANDALLSTOWN, MD 21133-1611
(443) 561-6445
Mailing address
3703 KINGS POINT RD, RANDALLSTOWN, MD 21133-1611
(443) 561-6445
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RSA-02561
RESIDENTIAL SERVICE AGENCY
MD
Enumeration date
08/16/2024
Last updated
08/16/2024
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