Provider Demographics
NPI:1245016641
Name:RELIABLE CARE LLC
Entity type:Organization
Organization Name:RELIABLE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NJOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-237-1572
Mailing Address - Street 1:3505 WILLIAMS AVE NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-9657
Mailing Address - Country:US
Mailing Address - Phone:503-385-1769
Mailing Address - Fax:
Practice Address - Street 1:3505 WILLIAMS AVE NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-9657
Practice Address - Country:US
Practice Address - Phone:503-385-1769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities