# RENAISSANCE FAMILY CARE, LLC

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

## Provider details

- **NPI number:** 1841540812
- **Authorized official:** MR. ELIJAH SHARP (CEO)
- **Authorized official phone:** (757) 966-1130

## Contact information

- **Practice address:** 702 HANCOCK AVE, PORTSMOUTH, VA 23701-3345
- **Practice address phone:** (757) 966-1130
- **Mailing address:** 702 HANCOCK AVE, PORTSMOUTH, VA 23701-3345
- **Mailing address phone:** (757) 966-1130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 1723 | VA | Yes |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 09/17/2012