Provider Demographics
NPI:1609445022
Name:RELIANCE PERSONAL CARE AGENCY LLC
Entity Type:Organization
Organization Name:RELIANCE PERSONAL CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BUOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-544-9619
Mailing Address - Street 1:N65W12552 MARACH RD
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-8325
Mailing Address - Country:US
Mailing Address - Phone:414-377-3225
Mailing Address - Fax:
Practice Address - Street 1:9235 W CAPITOL DR STE 400
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-1567
Practice Address - Country:US
Practice Address - Phone:414-377-3225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care