Organization
RENEW HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PERINA V MASON (OWNER)
(678) 923-4894
Entity
Organization
Contact information
Practice address
6961 PEACHTREE INDUSTRIAL BLVD STE 220, NORCROSS, GA 30092-3656
(678) 291-8449
(678) 291-8450
Mailing address
6020 HICKORY SPRINGS DR, NORCROSS, GA 30071-3460
(678) 421-0015
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2009004362
GA
Other
Enumeration date
12/04/2008
Last updated
09/10/2009
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