Provider Demographics
NPI:1487337374
Name:RELIANCE CARE CENTER
Entity type:Organization
Organization Name:RELIANCE CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AUBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYIRANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-906-7572
Mailing Address - Street 1:7426 E STETSON DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3547
Mailing Address - Country:US
Mailing Address - Phone:304-906-7572
Mailing Address - Fax:
Practice Address - Street 1:3921 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2727
Practice Address - Country:US
Practice Address - Phone:304-906-7572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)