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General NPI Number Information
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NPI Number | 1548043920
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Entity Type | Organization
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Legal Business Name | RELIABLE ELDER CARE SERVICE LLC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 900 N MCKNIGHT RD UNIT 2B
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City | SAINT LOUIS
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State | MO
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Zip | 63132-4843
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Country | US
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Telephone | 636-385-2457
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Fax |
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Provider Business Mailing Address
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Address Line | 900 N MCKNIGHT RD UNIT 2B
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City | SAINT LOUIS
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State | MO
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Zip | 63132-4843
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Country | US
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Telephone | 636-385-2457
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTAIN SOWELLS
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Credential |
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Telephone | 636-385-2457
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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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