NPI | 1427642925 |
---|---|
Doing Business As | RENEW HEALTHCARE LLC |
Entity Type | Organization |
Authorized Contact | JOSEPH MICHAEL YANKEY Medical Director 515-225-4492 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2021-02-24 |
Last Update Date | 2021-02-24 |