MEDICARE: RELERI 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1184951865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELERI LLC

Provider Business Mailing Address
First Line	:	5009 BEATTIES FORD RD STE 105
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-2860
Country	:	US
Telephone Number	:	704-391-1440
Fax Number	:	704-391-0767

Provider Business Practice Location Address
First Line	:	5009 BEATTIES FORD RD STE 105
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-2860
Country	:	US
Telephone Number	:	704-391-1440
Fax Number	:	704-391-0767

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LEANN BAKER BLANKENSHIP
Credential	:
Telephone Number	:	704-391-1440

Provider Enumeration Date	:	11/17/2009
Last Update Date	:	11/17/2009

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