Organization Name: | RENEW HOME CARE, LLC |
NPI Number: | 1407091515 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PERINA V MASON (OWNER) |
Mailing Address: | 6961 Peachtree Industrial Blvd Ste 220 Norcross |
State: | GA US |
Postal Code: | 300923656 |
Phone Number: | 6782918449 |
Fax Number: | 6782918450 |
NPI Enumeration Date: | 12/04/2008 |
NPI Last Update Date: | 09/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 2009004362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |