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General NPI Number Information
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NPI Number | 1063371318
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Entity Type | Organization
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Legal Business Name | PRECIOUS RELIANCE FAMILY CARE LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 5690 ALEPPO LN
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City | GREENWOOD
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State | IN
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Zip | 46143-5087
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Country | US
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Telephone | 651-307-7509
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Fax | 651-307-7509
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Provider Business Mailing Address
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Address Line | 5690 ALEPPO LN
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City | GREENWOOD
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State | IN
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Zip | 46143-5087
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Country | US
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Telephone | 651-307-7509
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Fax | 651-307-7509
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Authorized Official
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Title or Position | REGISTERED AGENT/ BUSINESS MANAGER
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Name | RUDOLPH BALLAH
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Credential |
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Telephone | 260-580-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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