Organization
VITREOUS RENEW PATH
Active
Organization
VITREOUS RENEW PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRINCESS 1 MERICLE BROWN (CEO & FOUNDER)
(515) 603-2324
Entity
Organization
Contact information
Practice address
5505 GREENWOOD AVE, PLEASANT HILL, IA 50327-1992
(515) 603-2324
Mailing address
5505 GREENWOOD AVE, PLEASANT HILL, IA 50327-1992
(515) 603-2324
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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