Organization
RENAISSANCE 1 SOCIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HERLANIUS M. TATE (OWNER)
(504) 243-1901
Entity
Organization
Contact information
Practice address
5705 ST ROCH AVE, NEW ORLEANS, LA 70122
(504) 243-1901
(504) 243-1903
Mailing address
5705 ST ROCH AVE, NEW ORLEANS, LA 70122
(504) 243-1901
(504) 243-1903
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
10624
LA
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473626
—
LA
Enumeration date
04/28/2008
Last updated
07/22/2022
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