Renew Health Home and Home Medical Supply, LLC
NPI #1548263791 in Monticello, Minnesota
Provider Information
- NPI Number
- 1548263791
- Entity Type
- Organization
- Organization Name
- Renew Health Home and Home Medical Supply, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 23, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 103 PINE ST
- Address 2
- STE 103
- City
- Monticello
- State
- Minnesota
- ZIP Code
- 55362-8564
- Phone
- (763) 295-6888
Authorized Official
- Name
- MR. VICTOR KYLOCHKO
- Title
- OWNER
- Phone
- (763) 295-6888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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