Provider Demographics
NPI:1699415968
Name:RELIANT PLUS
Entity type:Organization
Organization Name:RELIANT PLUS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JUN JUN
Authorized Official - Middle Name:CAPOTE
Authorized Official - Last Name:ALBASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-897-0948
Mailing Address - Street 1:5125 STONEGLEN WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5605
Mailing Address - Country:US
Mailing Address - Phone:916-897-0948
Mailing Address - Fax:
Practice Address - Street 1:5125 STONEGLEN WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5605
Practice Address - Country:US
Practice Address - Phone:916-897-0948
Practice Address - Fax:916-720-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)