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Organization

RELIANCE FAMILY CARE SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERNEST G COLE MA (EXECUTIVE DIRECTOR)
(267) 519-0672
Entity
Organization

Contact information

Practice address
2146 S BROAD ST, 2ND FL, PHILADELPHIA, PA 19145-3905
(267) 519-0672
Mailing address
2146 S BROAD ST, 2ND FL, PHILADELPHIA, PA 19145-3905
(267) 519-0672

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PA
251E00000X
Home Health Agency
Primary
21403601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102549501
MPI #
PA
01
164W00000X
LPN TAXONOMY
PA
01
21403601
DEPARTMENT OF HEALTH
PA
Enumeration date
06/15/2011
Last updated
05/24/2012
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