Provider Demographics
NPI:1659612380
Name:RELIABILITY ADULT DAY HEALTH CARE L.L.C.
Entity Type:Organization
Organization Name:RELIABILITY ADULT DAY HEALTH CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAYNESSES
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CLUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:337-212-6806
Mailing Address - Street 1:PO BOX 93659
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70509-3659
Mailing Address - Country:US
Mailing Address - Phone:337-212-6806
Mailing Address - Fax:
Practice Address - Street 1:703 E 8TH ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-3815
Practice Address - Country:US
Practice Address - Phone:337-212-6806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781585261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care