Provider Demographics
NPI:1497961866
Name:RELIABLE PRIVATE CARE
Entity Type:Organization
Organization Name:RELIABLE PRIVATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:407-290-5678
Mailing Address - Street 1:775 S KIRKMAN RD
Mailing Address - Street 2:SUITE # 112
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2068
Mailing Address - Country:US
Mailing Address - Phone:407-290-5678
Mailing Address - Fax:407-290-6956
Practice Address - Street 1:775 S KIRKMAN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2068
Practice Address - Country:US
Practice Address - Phone:407-290-5678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health