| Life Renewal Services, Inc | |
|
247 E Main St Westminster MD 21157-5228 | |
| (410) 277-8910 | |
| Not Available |
| Full Name | Life Renewal Services, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 247 E Main St, Westminster, Maryland |
| Authorized Official Name and Position | Lisa Fontaine (QA) |
| Authorized Official Contact | 4102778910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Renewal Services, Inc Po Box 865 Westminster MD 21158-0865 Ph: () - | Life Renewal Services, Inc 247 E Main St Westminster MD 21157-5228 Ph: (410) 277-8910 |
| NPI Number | 1528400348 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528400348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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