MEDICARE: ANEW HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1679083083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANEW HEALTH LLC

Provider Business Mailing Address
First Line	:	1794 29TH AVENUE DR NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-7514
Country	:	US
Telephone Number	:	828-781-2390
Fax Number	:

Provider Business Practice Location Address
First Line	:	1794 29TH AVENUE DR NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-7514
Country	:	US
Telephone Number	:	828-781-2390
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLES MORETZ JR.
Credential	:
Telephone Number	:	828-781-2390

Provider Enumeration Date	:	10/11/2017
Last Update Date	:	08/29/2023

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Directions to “ANEW HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

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