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General NPI Number Information
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NPI Number | 1609445022
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Entity Type | Organization
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Legal Business Name | RELIANCE PERSONAL CARE AGENCY LLC
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 10721 W CAPITOL DR STE 211
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City | WAUWATOSA
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State | WI
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Zip | 53222-1210
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Country | US
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Telephone | 414-455-3033
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Fax | 414-677-7233
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Provider Business Mailing Address
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Address Line | N65W12552 MARACH RD
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-8325
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Country | US
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Telephone | 414-377-3225
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCIS KOJO BUOR
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Credential |
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Telephone | 414-455-3033
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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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Taxonomy #2
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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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