Organization
RENEWING LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WINNIE MARIE HARRIS (MANAGER/MEMBER)
(225) 505-8751
Entity
Organization
Contact information
Practice address
6901 HANKS DR, BATON ROUGE, LA 70812-3528
(225) 505-8751
Mailing address
PO BOX 1685, ZACHARY, LA 70791-1685
(225) 505-8751
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00909391
OCCUPATIONAL LICENSE
LA
Enumeration date
04/25/2012
Last updated
04/25/2012
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