Provider Demographics
NPI:1669960282
Name:RELIANT ACUTE CARE, LLC
Entity type:Organization
Organization Name:RELIANT ACUTE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-265-9760
Mailing Address - Street 1:5781 LEE BLVD UNIT 105
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-6338
Mailing Address - Country:US
Mailing Address - Phone:239-265-9760
Mailing Address - Fax:239-491-9128
Practice Address - Street 1:5781 LEE BLVD UNIT 105
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-6338
Practice Address - Country:US
Practice Address - Phone:239-265-9760
Practice Address - Fax:239-491-9128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-30
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health