Organization
RUKI & LT LLC
Active
Other names
ReNewYou Newnan
Organization subpart
No
Provider details
NPI number
Authorized official
NICASIO JONES (ADMINISTOR)
(813) 458-8858
Entity
Organization
Contact information
Practice address
10 THE BLVD, NEWNAN, GA 30263-6282
(513) 781-9650
Mailing address
124 MORGAN ST, LAGRANGE, GA 30240
(513) 781-9650
Taxonomy
Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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