- Enrollment id
- O20140423002119
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1881019545
- Multiple npi flag
- N
- Ccn
- 059675
- Associate id
- 3577796705
- Organization name
- RELIANCE HOME HEALTH CARE, INC.
- Incorporation date
- 2014-02-11
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 520 E WILSON AVE
- Address line 2
- STE 110
- City
- GLENDALE
- State
- CA
- Zip code
- 912064374