Organization
RENEWED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE O. ODEMBO QDDP/QMHP (PRESIDENT)
(704) 473-6346
Entity
Organization
Contact information
Practice address
110 TWIN LAKE DR, SHELBY, NC 28152-0660
(704) 473-6346
(704) 313-3017
Mailing address
110 TWIN LAKE DR, SHELBY, NC 28152-0660
(704) 473-6346
(704) 313-3017
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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