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NPI Code Detail

MEDICARE: RELIABLE COMMUNITY CARE,LLC

MEDICARE: RELIABLE COMMUNITY 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1134701006
Entity Type Code : Organization
Provider Name (Legal Business Name) : RELIABLE COMMUNITY CARE,LLC
Provider Business Mailing Address
First Line : 3220 COUNTY ROAD 10 STE 125
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55429-3075
Country : US
Telephone Number : 763-267-2659
Fax Number : 763-307-6074
Provider Business Practice Location Address
First Line : 3220 COUNTY ROAD 10 STE 125
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55429-3075
Country : US
Telephone Number : 763-267-2659
Fax Number : 763-307-6074
Authorized Official
Title or Position : MANAGER
Name : LAWRENCE KERKULA
Credential :
Telephone Number : 763-267-2659
Provider Enumeration Date : 04/21/2021
Last Update Date : 07/24/2024

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Directions to “RELIABLE COMMUNITY CARE,LLC ” Practice Location

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