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NPI Code Detail

MEDICARE: RENEW CONSULTING, INC.

MEDICARE: RENEW CONSULTING, INC.
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityDD2701OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881931798
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENEW CONSULTING, INC.
Provider Business Mailing Address
First Line : 808 OLD SALEM RD NE
Second Line :
City : ALBANY
State : OR
Zip : 97321-4539
Country : US
Telephone Number : 541-905-7236
Fax Number : 541-981-2127
Provider Business Practice Location Address
First Line : 3415 COLUMBIA VIEW DR
Second Line :
City : THE DALLES
State : OR
Zip : 97058-9703
Country : US
Telephone Number : 541-905-7236
Fax Number : 541-981-2127
Authorized Official
Title or Position : OWNER
Name : KATHY ARONSON
Credential :
Telephone Number : 503-851-8219
Provider Enumeration Date : 01/11/2013
Last Update Date : 01/11/2013

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Directions to “RENEW CONSULTING, INC. ” Practice Location

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