Organization
RENASCENCE IN HOME CARE
Active
Organization
RENASCENCE IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUTOSHAU LASTER (OWNER)
(864) 553-4801
Entity
Organization
Contact information
Practice address
300 JOHN ST STE 6B, GREER, SC 29651-1463
(864) 553-4801
Mailing address
10 BLACK OAK CT, SIMPSONVILLE, SC 29680-6224
(864) 553-4801
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHCP-1805
DHEC
SC
Enumeration date
12/15/2022
Last updated
12/15/2022
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