| Life Renewal Resrouces | |
|
2114 N Lincoln Ave Ste 106 Loveland CO 80538-3858 | |
| (970) 402-4579 | |
| Not Available |
| Full Name | Life Renewal Resrouces |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2114 N Lincoln Ave Ste 106, Loveland, Colorado |
| Authorized Official Name and Position | Ann M Tharp (BUSINESS OWNER) |
| Authorized Official Contact | 9704024579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Renewal Resrouces 6814 Antigua Dr Unit 18 Fort Collins CO 80525-6936 Ph: (970) 223-2506 | Life Renewal Resrouces 2114 N Lincoln Ave Ste 106 Loveland CO 80538-3858 Ph: (970) 402-4579 |
| NPI Number | 1376701730 |
|---|---|
| Provider Enumeration Date | 06/01/2008 |
| Last Update Date | 06/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376701730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20051340355 (Colorado) | Primary |
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