Provider Demographics
NPI:1548043920
Name:RELIABLE ELDER CARE SERVICE LLC
Entity type:Organization
Organization Name:RELIABLE ELDER CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-385-2457
Mailing Address - Street 1:900 N MCKNIGHT RD UNIT 2B
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-4843
Mailing Address - Country:US
Mailing Address - Phone:636-385-2457
Mailing Address - Fax:
Practice Address - Street 1:900 N MCKNIGHT RD UNIT 2B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-4843
Practice Address - Country:US
Practice Address - Phone:636-385-2457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health