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General NPI Number Information
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NPI Number | 1063465581
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Entity Type | Organization
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Legal Business Name | RELIANCE HOME CARE LLC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 3723 15 MILE ROAD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310
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Country | US
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Telephone | 586-722-7938
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Fax |
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Provider Business Mailing Address
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Address Line | 3723 15 MILE ROAD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310
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Country | US
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Telephone | 586-722-7938
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KHALIL I KEKHAL ALEKAILY
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Credential |
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Telephone | 586-722-7938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | B7841J
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License Number State | MI
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