MEDICARE: DNC RELIABLE KARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	376K00000X	Nurse's Aide
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1841994753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DNC RELIABLE KARE LLC

Provider Business Mailing Address
First Line	:	5258 MILLENIA BLVD APT 108
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-5631
Country	:	US
Telephone Number	:	407-770-3601
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 MAITLAND AVE
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5510
Country	:	US
Telephone Number	:	140-777-0360
Fax Number	:

Authorized Official
Title or Position	:	OWNER4
Name	:	DENETRA NEKIA CROOKS
Credential	:
Telephone Number	:	321-888-5353

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	09/07/2024

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