Organization
THE RENAISSANCE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANDA BARNES (EXECUTIVE DIRECTOR)
(919) 638-1239
Entity
Organization
Contact information
Practice address
114 W JEFFERSON ST, JACKSON, NC 27845-9419
(919) 638-1239
Mailing address
400 OLD HIGHWAY RD, GARYSBURG, NC 27831-3001
(191) 963-8123
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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