Organization
RENAISSANCE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA M DEEM (EXECUTIVE DIRECTOR)
(304) 292-6880
Entity
Organization
Contact information
Practice address
219 HARTMAN RUN RD, MORGANTOWN, WV 26505-5377
(304) 292-6880
(304) 292-6881
Mailing address
PO BOX 745, DELLSLOW, WV 26531-0745
(304) 292-6880
(304) 292-6881
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
2804009000
WV
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2804009000
—
WV
Enumeration date
03/20/2007
Last updated
11/10/2023
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