Organization
RENAISSANCE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATUH NTUMNGIA AKONGNWI AWUNTI (OWNER)
(412) 708-1096
Entity
Organization
Contact information
Practice address
2870 E GRAND BLVD, DETROIT, MI 48202-3129
(412) 708-1096
Mailing address
2870 E GRAND BLVD, DETROIT, MI 48202-3129
(412) 708-1096
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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