Organization
RENEWED RADIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMESHA HARRIS (OWNER/ MANGER)
(833) 357-3639
Entity
Organization
Contact information
Practice address
1203 EAST CORNERVIEW STREET, GONZALES, LA 70737
(833) 357-3639
Mailing address
5256 FAULKNER DR, DARROW, LA 70725-2526
(225) 323-6873
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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