Reliacare LLC
Nurse Practitioner, Family in Stratford, CT. Organization (NPI-2).
NPI number1023904992
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1023904992
- Entity type
- Organization (NPI-2)
- Legal business name
- Reliacare LLC
- Organization subpart
- No
- Enumeration date
- Jun 16, 2025
- Certification date
- Jun 16, 2025
- Last updated
- Jun 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
1650 James Farm RdStratford, CT 06614-8913
Phone 203-571-2206
Mailing address
1650 James Farm RdStratford, CT 06614-8913
Phone 203-571-2206
Authorized official
Mariamu Tshilenge
Owner
2035712206
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