Provider Demographics
NPI:1225707185
Name:RELYACARE INC
Entity Type:Organization
Organization Name:RELYACARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BURECH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-385-2273
Mailing Address - Street 1:51 FOREST RD # 316-434
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-2948
Mailing Address - Country:US
Mailing Address - Phone:845-385-2273
Mailing Address - Fax:
Practice Address - Street 1:56 UTTER AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-2117
Practice Address - Country:US
Practice Address - Phone:845-385-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies