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Organization
RENEWED LIFE HEALTHCARE LLC
Active
Organization
RENEWED LIFE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKESHA REID (VICE PRESIDENT)
(305) 205-5750
Entity
Organization
Contact information
Practice address
11200 SW VILLAGE PKWY # 100, PORT ST LUCIE, FL 34987-2385
(305) 205-5750
Mailing address
11200 SW VILLAGE PKWY # 100, PORT ST LUCIE, FL 34987-2385
(305) 205-5750
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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