MEDICARE: RLP HOME HEALTHCARE SERVICES 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871915017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RLP HOME HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2255 UPPER AFTON RD E
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55119-4645
Country	:	US
Telephone Number	:	612-554-6529
Fax Number	:

Provider Business Practice Location Address
First Line	:	2255 UPPER AFTON RD E
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55119-4645
Country	:	US
Telephone Number	:	612-554-6529
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	TONYA LOVE
Credential	:	LRT
Telephone Number	:	612-554-6529

Provider Enumeration Date	:	01/07/2014
Last Update Date	:	01/07/2014

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