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General NPI Number Information
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NPI Number | 1962775379
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Entity Type | Organization
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Legal Business Name | RENEWAL CARE PARTNERS
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 1451 W CYPRESS CREEK RD STE 300
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1953
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Country | US
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Telephone | 212-380-1781
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Fax |
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Provider Business Mailing Address
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Address Line | 548 BROADWAY FL 3
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City | NEW YORK
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State | NY
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Zip | 10012-3950
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. JOSEPH FISHER
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Credential |
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Telephone | 212-380-1781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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