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Organization

RENEST RESIDENCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA WADDELL WADDDELL (ADMINISTRATIVE OFFICER)
(270) 839-6743
Entity
Organization

Contact information

Practice address
226 ADAMS RD, ELIZABETHTOWN, KY 42701-1061
(844) 473-6378
(270) 246-9950
Mailing address
226 ADAMS RD, ELIZABETHTOWN, KY 42701-1061
(844) 473-6378
(270) 246-9950

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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