Provider Demographics
NPI:1518313386
Name:RELIABLE COMMUNITY CARE SERVICES, LLC
Entity Type:Organization
Organization Name:RELIABLE COMMUNITY CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUDA
Authorized Official - Middle Name:DAHIR
Authorized Official - Last Name:DAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-363-7192
Mailing Address - Street 1:460 PARK MEADOWS DR APT 104
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-1481
Mailing Address - Country:US
Mailing Address - Phone:651-363-7192
Mailing Address - Fax:
Practice Address - Street 1:460 PARK MEADOWS DR APT 104
Practice Address - Street 2:
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-1481
Practice Address - Country:US
Practice Address - Phone:651-363-7192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health