Organization
RENAISSANCE REMEDIAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERSELLA JAMES (PRESIDENT)
(319) 594-7435
Entity
Organization
Contact information
Practice address
806 5TH ST STE 210, CORALVILLE, IA 52241-2361
(319) 594-8686
Mailing address
3234 FRIENDSHIP ST, IOWA CITY, IA 52245-5116
(319) 594-8686
(319) 855-4514
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000702541
—
IA
Enumeration date
08/23/2011
Last updated
08/23/2011
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