# RENEST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053203646
- **Authorized official:** SUSAN WATKINS (CEO)
- **Authorized official phone:** (888) 585-7470

## Contact information

- **Practice address:** 2861 N 53RD ST, MILWAUKEE, WI 53210-1614
- **Practice address phone:** (888) 585-7470
- **Mailing address:** PO BOX 12613, MILWAUKEE, WI 53212-0613
- **Mailing address phone:** (888) 585-7470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2025
- **Last updated:** 07/17/2025
