Re-New Life in Grain Valley - Addiction (substance Use Disorder)
Re-New Life - NPI 1740486711
Re-New Life is a Addiction (substance Use Disorder) in Grain Valley, Missouri. Re-New Life practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Re-New Life is 1740486711. The last update date is 2020-08-22.
Re-New Life's current location address is 33204 E. R.d. Mize Road, Grain Valley, Missouri. You can contact this provider via phone number 8164433311 and fax number 8164433311. The mailing address for Re-New Life is 33204 E. R.d. Mize Road, Grain Valley, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Re-New Life |
|---|---|
| Address | 33204 E. R.d. Mize Road, Grain Valley, Missouri |
| Phone Number | 8164433311 |
| Fax Number | 8164433311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Neely P Charles |
| Telephone Number | 8164433311 |
NPI Number Detail
| NPI Number | 1740486711 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 33204 E. R.d. Mize Road |
|---|---|
| City | Grain Valley |
| State | Missouri (MO) |
| Post Code | 64029 |
| Phone Number | 8164433311 |
| Fax Number | 8164433311 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Re-New Life by the Centers for Medicare & Medicaid Services (CMS)?
The Re-New Life has been assigned the NPI (National Provider Identifier) 1740486711. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Re-New Life is geographically located?
The Re-New Life is physically situated at the following location: 33204 E. R.D. Mize Road, Grain Valley, MO, 64029.
What is Re-New Life's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Re-New Life is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
When was the Re-New Life's 1740486711 issued?
The Re-New Life's 1740486711 was issued on 2007-06-26.
As of what date were the details pertaining to Re-New Life last refreshed?
The information related to the Re-New Life, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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