Organization Name: | RELIABLE PCA AND SIL AGENCY LLC |
NPI Number: | 1194136192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | QUENTINA LASHELLE DAWSON (OWNER) |
Mailing Address: | 75 Dominican Rd Ste 209 La Place |
State: | LA US |
Postal Code: | 700683400 |
Phone Number: | 5043405306 |
Fax Number: | 5043287677 |
NPI Enumeration Date: | 05/13/2014 |
NPI Last Update Date: | 05/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |