Renew 4 Life LLC

NPI #1558681106 in Rigby, Idaho

Provider Information

NPI Number
1558681106
Entity Type
Organization
Organization Name
Renew 4 Life LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 6, 2010
Last Updated
Jun 6, 2010

Practice Location

Address
240 S 5TH W STE E
City
Rigby
State
Idaho
ZIP Code
83442-1476
Phone
(208) 520-1690

Authorized Official

Name
CHRISTINA DOMPIER
Title
OWNER
Phone
(208) 520-1690

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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