| Renaissance Remedial Services, Inc | |
|
806 5th St Ste 210 Coralville IA 52241-2361 | |
| (319) 594-8686 | |
| Not Available |
| Full Name | Renaissance Remedial Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 806 5th St Ste 210, Coralville, Iowa |
| Authorized Official Name and Position | Versella James (PRESIDENT) |
| Authorized Official Contact | 3195947435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Remedial Services, Inc 3234 Friendship St Iowa City IA 52245-5116 Ph: (319) 594-8686 | Renaissance Remedial Services, Inc 806 5th St Ste 210 Coralville IA 52241-2361 Ph: (319) 594-8686 |
| NPI Number | 1396025359 |
|---|---|
| Provider Enumeration Date | 08/23/2011 |
| Last Update Date | 08/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396025359 | NPI | - | NPPES |
| X000702541 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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