Organization
RENEW HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE HAFLEY RN (OWNER/CEO)
(256) 322-2997
Entity
Organization
Contact information
Practice address
29768 WINDSOR LN, HARVEST, AL 35749-7194
(256) 322-2997
Mailing address
29768 WINDSOR LN, HARVEST, AL 35749-7194
(256) 322-2997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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