Healthcare Provider Details

I. General information

NPI: 1821203050
Provider Name (Legal Business Name): RELIABLE CARE SERVICES. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 E LAKE ST
MINNEAPOLIS MN
55407-6700
US

IV. Provider business mailing address

1527 E LAKE ST
MINNEAPOLIS MN
55407-6700
US

V. Phone/Fax

Practice location:
  • Phone: 612-721-4600
  • Fax: 612-724-5461
Mailing address:
  • Phone: 612-721-4600
  • Fax: 612-724-5461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BELEMA A SENIBO
Title or Position: MANAGER
Credential:
Phone: 612-721-4600