Organization
THERENAISSANCEGROUPREALTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PORTER (OWNER)
(571) 237-2137
Entity
Organization
Contact information
Practice address
123 FIELDSTONE CT, FREDERICK, MD 21702-3279
(571) 237-2137
(571) 237-2137
Mailing address
14116 CASTLE BLVD APT 104, SILVER SPRING, MD 20904-4654
(571) 237-2137
(571) 237-2137
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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