Provider Demographics
NPI:1174015978
Name:RELIANCE VENTURES LLC
Entity Type:Organization
Organization Name:RELIANCE VENTURES LLC
Other - Org Name:RELIANCE CARE HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:KASALIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-236-6594
Mailing Address - Street 1:5350 E 46TH ST STE 121
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6601
Mailing Address - Country:US
Mailing Address - Phone:918-236-6594
Mailing Address - Fax:
Practice Address - Street 1:5350 E 46TH ST STE 121
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6601
Practice Address - Country:US
Practice Address - Phone:918-236-6594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8084251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health