Organization
RENEWED VITALITY HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS EDWARD HARRELL JR. (DIRECTOR)
(314) 889-0153
Entity
Organization
Contact information
Practice address
7750 CLAYTON RD STE 302B, RICHMOND HEIGHTS, MO 63117-1341
(314) 899-0153
(314) 529-3431
Mailing address
7750 CLAYTON RD STE 302B, RICHMOND HEIGHTS, MO 63117-1341
(314) 899-0153
(314) 529-3431
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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