Organization
SAFEWAY ENTERPRISES
Active
Other names
Renew You Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GERARD GOLATA (CEO)
(502) 749-0504
Entity
Organization
Contact information
Practice address
7003 GLOBAL DR, LOUISVILLE, KY 40258-1977
(502) 749-0504
Mailing address
7003 GLOBAL DR, LOUISVILLE, KY 40258-1977
(502) 749-0504
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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