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Organization

RELIABLE ASSISTED LIVING AND TRAINING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA GILLIS RN,MSN, CM/DN (DELEGATING NURSE)
(445) 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
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
12/05/2022
Last updated
12/05/2022
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