Provider Demographics
NPI:1659763480
Name:RLZ HEALTHCARE GROUP, LLC
Entity Type:Organization
Organization Name:RLZ HEALTHCARE GROUP, LLC
Other - Org Name:BETHANY JOY GARDEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RIZANIO
Authorized Official - Middle Name:BONILLA
Authorized Official - Last Name:ESTOMATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-679-4822
Mailing Address - Street 1:207 RIESLING VINES ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-4737
Mailing Address - Country:US
Mailing Address - Phone:661-679-4822
Mailing Address - Fax:661-679-4822
Practice Address - Street 1:207 RIESLING VINES ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-4737
Practice Address - Country:US
Practice Address - Phone:661-679-4822
Practice Address - Fax:661-679-4822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA157206877253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care