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Organization

RENASCENCE PERSONAL CARE HOME LLC

Active
Parent organization
RENASCENCE PERSONAL CARE HOME
Other names
Renascence Medical Transport
Organization subpart
Yes

Provider details

NPI number
Legal business name
RENASCENCE PERSONAL CARE HOME
Authorized official
SAKIMA JULES NREMT-P (OWNER)
(678) 979-6537
Entity
Organization

Contact information

Practice address
3845 CYPRESS CREEK PKWY STE 350, HOUSTON, TX 77068-3567
(281) 645-0880
Mailing address
3210 TACKETT RD, DOUGLASVILLE, GA 30135-9104

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
05/29/2023
Last updated
05/29/2023
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