Provider Demographics
NPI:1215764477
Name:RELIABLE HEALTH & REHAB, LLC
Entity type:Organization
Organization Name:RELIABLE HEALTH & REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:PROF
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:THELUSMA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:302-333-9288
Mailing Address - Street 1:203 NE FRONT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1431
Mailing Address - Country:US
Mailing Address - Phone:302-333-9288
Mailing Address - Fax:
Practice Address - Street 1:203 NE FRONT ST STE 101
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1431
Practice Address - Country:US
Practice Address - Phone:302-333-9288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service