Healthcare Provider Details
I. General information
NPI: 1871915017
Provider Name (Legal Business Name): RLP HOME HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/07/2014
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2255 UPPER AFTON RD E
SAINT PAUL MN
55119-4645
US
IV. Provider business mailing address
2255 UPPER AFTON RD E
SAINT PAUL MN
55119-4645
US
V. Phone/Fax
- Phone: 612-554-6529
- Fax:
- Phone: 612-554-6529
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TONYA
LOVE
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: LRT
Phone: 612-554-6529