MEDICARE: RELIABLE HOME CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	2012605702	DE

General Provider Information

NPI Number	:	1023458668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE HOME CARE, LLC

Provider Business Mailing Address
First Line	:	623 W NEWPORT PIKE
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19804-3235
Country	:	US
Telephone Number	:	302-332-6288
Fax Number	:	302-358-2975

Provider Business Practice Location Address
First Line	:	623 W NEWPORT PIKE
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19804-3235
Country	:	US
Telephone Number	:	302-332-6288
Fax Number	:	302-358-2975

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. DAVID L LEE
Credential	:	RN, MSN
Telephone Number	:	302-507-1501

Provider Enumeration Date	:	06/27/2013
Last Update Date	:	06/27/2013

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