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General NPI Number Information
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NPI Number | 1245807676
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Entity Type | Organization
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Legal Business Name | RELYANCE HOME CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 155 W RAILROAD ST S
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City | PELHAM
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State | GA
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Zip | 31779-1631
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Country | US
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Telephone | 229-854-8497
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Fax |
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Provider Business Mailing Address
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Address Line | 530 THOMAS AVE
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City | CAMILLA
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State | GA
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Zip | 31730-2318
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Country | US
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Telephone | 229-854-8497
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | AKINA S DAVIS
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Credential |
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Telephone | 229-854-8497
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #5
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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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