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NPI Code Detail

MEDICARE: RELIANCE HEALTHCARE AGENCY

MEDICARE: RELIANCE HEALTHCARE AGENCY
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 : 1407454275
Entity Type Code : Organization
Provider Name (Legal Business Name) : RELIANCE HEALTHCARE AGENCY
Provider Business Mailing Address
First Line : 160 NE 18TH AVE
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-2217
Country : US
Telephone Number : 561-880-1710
Fax Number :
Provider Business Practice Location Address
First Line : 500 S AUSTRALIAN AVE STE 600
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-6237
Country : US
Telephone Number : 561-880-1710
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ROSANA DALLIEN
Credential :
Telephone Number : 561-880-1710
Provider Enumeration Date : 10/14/2020
Last Update Date : 10/14/2020

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Directions to “RELIANCE HEALTHCARE AGENCY ” Practice Location

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