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Organization
RENAISSANCE MEDICAL STAFFING, LLC
Active
Organization
RENAISSANCE MEDICAL STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS OMOLO BLASIO (CPA & CFO)
(317) 293-1976
Entity
Organization
Contact information
Practice address
8201 TRADERS HOLLOW CT, INDIANAPOLIS, IN 46278-1297
(317) 293-1976
Mailing address
3265 FIDDLEAF WAY, LAKELAND, FL 33811
(317) 293-1976
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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