Organization
RENEWAL LIFE COMMUNITY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERICO BEOWN (OWNER)
(872) 352-0096
Entity
Organization
Contact information
Practice address
5848 S EMERALD AVE, CHICAGO, IL 60621-2814
(872) 352-0096
Mailing address
5848 S EMERALD AVE, CHICAGO, IL 60621-2814
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
11/08/2025
Last updated
11/08/2025
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