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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