| NPI | 1205617800 |
|---|---|
| Former Legal Business Name | RENACER WELLNESS COMMUNITY LLC |
| Entity Type | Organization |
| Authorized Contact | NERLSON MEDINA CANCIO Owner 786-930-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |