Organization
RENAISSANCE PORT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L COMER ADMINISTRATOR (MANAGER)
(877) 775-8764
Entity
Organization
Contact information
Practice address
18600 FLORENCE ST, ROSEVILLE, MI 48066-6600
(877) 775-8764
Mailing address
28401 MOUND RD UNIT 1810, WARREN, MI 48090-7264
(877) 775-8764
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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