Organization
RENU PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRITTANY SHONTAY MAXWELL (OWNER)
(501) 291-6002
Entity
Organization
Contact information
Practice address
3818 W 19TH ST, LITTLE ROCK, AR 72204-3914
(501) 404-8451
Mailing address
3818 W 19TH ST, LITTLE ROCK, AR 72204-3914
(501) 404-8451
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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