Provider Demographics
NPI:1780171900
Name:RELIABLE REHABILITATION SERVICES LLC
Entity type:Organization
Organization Name:RELIABLE REHABILITATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:MAINA
Authorized Official - Last Name:KAIRA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:407-234-5419
Mailing Address - Street 1:1125 SHALLCROSS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6806
Mailing Address - Country:US
Mailing Address - Phone:407-234-5419
Mailing Address - Fax:
Practice Address - Street 1:1125 SHALLCROSS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6806
Practice Address - Country:US
Practice Address - Phone:407-234-5419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2033251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health