| Renewed Health Care Practice | |
|
1101 Larona Rd Trotwood OH 45426-2574 | |
| (937) 520-7889 | |
| Not Available |
| Full Name | Renewed Health Care Practice |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1101 Larona Rd, Trotwood, Ohio |
| Authorized Official Name and Position | Rhonda Smith Bass (CEO) |
| Authorized Official Contact | 9375207889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Health Care Practice 1101 Larona Rd Trotwood OH 45426-2574 Ph: (937) 520-7889 | Renewed Health Care Practice 1101 Larona Rd Trotwood OH 45426-2574 Ph: (937) 520-7889 |
| NPI Number | 1154009066 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154009066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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