Organization
RENEWED SPIRIT LLC
Active
Other names
GUARDIAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY ANN GRIFFIN (PRESIDENT)
(260) 747-6371
Entity
Organization
Contact information
Practice address
6502 BLUFFTON RD, FORT WAYNE, IN 46809-2370
(260) 747-6371
(260) 747-1818
Mailing address
6502 BLUFFTON RD, FORT WAYNE, IN 46809-2370
(260) 747-6371
(260) 747-1818
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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