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NPI Code Detail

MEDICARE: RENEE CALDWELL

MEDICARE:   RENEE  CALDWELL
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
1253Z00000XIn Home Supportive Care Agency
2347C00000XPrivate Vehicle
3347E00000XTransportation Broker
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1700744513
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE CALDWELL
Provider Business Mailing Address
First Line : 2521 ARCHWOOD DR
Second Line :
City : DAYTON
State : OH
Zip : 45406-1404
Country : US
Telephone Number : 937-654-0736
Fax Number :
Provider Business Practice Location Address
First Line : 2521 ARCHWOOD DR
Second Line :
City : DAYTON
State : OH
Zip : 45406-1404
Country : US
Telephone Number : 937-654-0736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ RENEE CALDWELL ” Practice Location

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