Provider Demographics
NPI:1871969352
Name:RENEW HEALTHCARE SOLUTIONS INC
Entity type:Organization
Organization Name:RENEW HEALTHCARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:888-808-4808
Mailing Address - Street 1:865 S FIGUEROA ST # 3340C
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2543
Mailing Address - Country:US
Mailing Address - Phone:888-808-4808
Mailing Address - Fax:888-808-4650
Practice Address - Street 1:865 S FIGUEROA ST # 3340C
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-2543
Practice Address - Country:US
Practice Address - Phone:888-808-4808
Practice Address - Fax:888-808-4650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies