Renewed Living L.l.c.
NPI #1710716873 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1710716873
- Entity Type
- Organization
- Organization Name
- Renewed Living L.l.c.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 29, 2024
- Last Updated
- Jul 29, 2024
Practice Location
- Address
- 12224 17TH AVE S
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-6832
- Phone
- (612) 477-5596
Authorized Official
- Name
- MOHAMED AHMED
- Title
- EMPLOYEE
- Phone
- (612) 477-5596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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