RENEWED HEALTH CARE PRACTICE NPI 1063027951

NPI Information

RENEWED HEALTH CARE PRACTICE is a clinic center in Trotwood, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RENEWED HEALTH CARE PRACTICE NPI is 1063027951. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Renewed Health Care.

The provider's business location address is:

1101 LARONA RD
TROTWOOD, OH
ZIP 45426-574
Phone: (193) 752-0788

The provider's authorized official is Rhonda Felecia Smith .
The authorized official title is Director and has the following contact phone number (937) 520-7889.

The CLIA number assigned to this NPI record is 36D2171215 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2020 and was last updated on 9/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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