Provider Demographics
NPI:1790207827
Name:RELIANCE HOME CARE AGENCY INC
Entity Type:Organization
Organization Name:RELIANCE HOME CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ONYINYECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:UGURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-437-8743
Mailing Address - Street 1:2101 STENTON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-2509
Mailing Address - Country:US
Mailing Address - Phone:267-930-3281
Mailing Address - Fax:
Practice Address - Street 1:2101 STENTON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-2509
Practice Address - Country:US
Practice Address - Phone:267-930-3281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health