Organization
RENEW HEALTH & WELLNESS, LLC
Active
Organization
RENEW HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUY VOLLAND (MANAGING MEMBER)
(864) 334-6060
Entity
Organization
Contact information
Practice address
30 S MAIN ST, CAMPOBELLO, SC 29322-8603
(864) 334-6060
Mailing address
PO BOX 683, CAMPOBELLO, SC 29322-0683
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/06/2023
Last updated
09/19/2023
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