Provider Demographics
NPI:1851063853
Name:ADEPT RELIANCE LLC
Entity Type:Organization
Organization Name:ADEPT RELIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IFEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIANWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-744-1074
Mailing Address - Street 1:125 E MAIN ST UNIT 3031
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2189
Mailing Address - Country:US
Mailing Address - Phone:609-626-0108
Mailing Address - Fax:
Practice Address - Street 1:125 E MAIN ST UNIT 3031
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2189
Practice Address - Country:US
Practice Address - Phone:609-626-0108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities