# RELIABLE MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437859188
- **Authorized official:** KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
- **Authorized official phone:** (629) 252-8211

## Contact information

- **Practice address:** 8249 PARKLINE BLVD STE 200, ORLANDO, FL 32809-7890
- **Practice address phone:** (689) 500-4455
- **Practice address fax:** (689) 610-6223
- **Mailing address:** 9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1618
- **Mailing address phone:** (629) 282-8211
- **Mailing address fax:** (763) 255-3972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2023
- **Last updated:** 04/17/2024