Provider Demographics
NPI:1992458210
Name:COLEY RELIABLE CARE
Entity type:Organization
Organization Name:COLEY RELIABLE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:478-320-6893
Mailing Address - Street 1:547 WINTER VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7799
Mailing Address - Country:US
Mailing Address - Phone:478-320-6893
Mailing Address - Fax:
Practice Address - Street 1:547 WINTER VIEW WAY
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7799
Practice Address - Country:US
Practice Address - Phone:478-320-6893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health