Organization
RELIANCE PRIVATE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARMANTE CYRIUS NP, RN (OWNER/ADMINISTRATOR)
(678) 520-1470
Entity
Organization
Contact information
Practice address
2668 WESTCHESTER PKWY SE, CONYERS, GA 30013-2400
(678) 520-1470
Mailing address
2668 WESTCHESTER PKWY SE, CONYERS, GA 30013-2400
(678) 520-1470
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/03/2023
Last updated
11/08/2024
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