Provider Demographics
NPI:1669779922
Name:RELIANCE CARE OPTIONS, INC.
Entity type:Organization
Organization Name:RELIANCE CARE OPTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:N
Authorized Official - Last Name:EGEOLU
Authorized Official - Suffix:
Authorized Official - Credentials:BBA, MS
Authorized Official - Phone:210-274-8218
Mailing Address - Street 1:647 CYPRESSGREEN DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-2324
Mailing Address - Country:US
Mailing Address - Phone:210-274-8218
Mailing Address - Fax:210-673-9500
Practice Address - Street 1:647 CYPRESSGREEN DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-2324
Practice Address - Country:US
Practice Address - Phone:210-274-8218
Practice Address - Fax:210-673-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX131370310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility