| Renewed Hope Hcs Llc | |
|
19926 Kendall Lake Dr Richmond TX 77407-3783 | |
| (610) 410-7422 | |
| Not Available |
| Full Name | Renewed Hope Hcs Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19926 Kendall Lake Dr, Richmond, Texas |
| Authorized Official Name and Position | Vivian Ifeanyi Odafi (PROGRAM MANAGER) |
| Authorized Official Contact | 6104107422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Hope Hcs Llc 19926 Kendall Lake Dr Richmond TX 77407-3783 Ph: (610) 410-7422 | Renewed Hope Hcs Llc 19926 Kendall Lake Dr Richmond TX 77407-3783 Ph: (610) 410-7422 |
| NPI Number | 1306561469 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306561469 | NPI | - | NPPES |
| 958411 | Other | TX | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 310400000X | Assisted Living Facility | (* (Not Available)) | Secondary |
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