# RENAISSANCE MEDICAL STAFFING, LLC

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

## Provider details

- **NPI number:** 1316000623
- **Authorized official:** MR. NICHOLAS OMOLO BLASIO (CPA & CFO)
- **Authorized official phone:** (317) 293-1976

## Contact information

- **Practice address:** 8201 TRADERS HOLLOW CT, INDIANAPOLIS, IN 46278-1297
- **Practice address phone:** (317) 293-1976
- **Mailing address:** 3265 FIDDLEAF WAY, LAKELAND, FL 33811
- **Mailing address phone:** (317) 293-1976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 08/22/2020