Organization
LIFE RENEWAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA MADDOX (VICE PRESIDENT)
(508) 450-5882
Entity
Organization
Contact information
Practice address
250 COMMERCIAL ST, SUITE 440, WORCESTER, MA 01608-1726
(508) 373-8838
Mailing address
250 COMMERCIAL ST, SUITE 440, WORCESTER, MA 01608-1726
(508) 373-8838
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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