Organization
RENEWED POWER FOR LIVING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY SPATES MA (ADMINISTRATOR)
(336) 671-4779
Entity
Organization
Contact information
Practice address
1955 CAMDEN FOREST DRIVE, WINSTON SALEM, NC 27127-4750
(336) 671-4779
(336) 331-3316
Mailing address
1955 CAMDEN FOREST DRIVE, WINSTON SALEM, NC 27127-4750
(336) 671-4779
(336) 331-3316
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
10/04/2011
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