NPI | 1205443504 |
---|---|
Doing Business As | RENOVIS HEALTH |
Entity Type | Organization |
Authorized Contact | OLISAELOKA DALLAH Chief Administrative Officer 248-470-7318 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
251E00000X Home Health | |
302R00000X Health Maintenance Organization | |
Enumeration Date | 2020-09-30 |
Last Update Date | 2023-03-13 |