# LIFE RENEWAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1942632682
- **Authorized official:** MR. DAN NIEBERDING LCPC (POLICY & COMMUNICATIONS SPECIALIST)
- **Authorized official phone:** (717) 524-6187

## Contact information

- **Practice address:** 247-249 EAST MAIN STREET, WESTMINSTER, MD 21157-5228
- **Practice address phone:** (443) 289-8149
- **Practice address fax:** (443) 821-3280
- **Mailing address:** PO BOX 865, WESTMINSTER, MD 21158-0865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 07/09/2024