MEDICARE: RELIABLE PRIVATE CARE INC.

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		FL

General Provider Information

NPI Number	:	1740384387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE PRIVATE CARE INC.

Provider Business Mailing Address
First Line	:	6239 EDGEWATER DR
Second Line	:	N3, STE 2
City	:	ORLANDO
State	:	FL
Zip	:	32810-4736
Country	:	US
Telephone Number	:	407-290-5678
Fax Number	:

Provider Business Practice Location Address
First Line	:	6239 EDGEWATER DR
Second Line	:	N3, STE 2
City	:	ORLANDO
State	:	FL
Zip	:	32810-4736
Country	:	US
Telephone Number	:	407-290-5678
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NORMA HANSON
Credential	:
Telephone Number	:	407-290-5678

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	08/22/2020

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