Life Renewal Services, Inc. | |
247 E Main St Westminster MD 21157-5228 | |
(410) 277-8910 | |
Not Available |
Full Name | Life Renewal Services, Inc. |
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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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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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 | 1578995213 |
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Provider Enumeration Date | 08/05/2013 |
Last Update Date | 08/05/2013 |
Medicare PECOS PAC ID | 8022344712 |
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Medicare Enrollment ID | O20190802000757 |
Identifier | Type | State | Issuer |
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1578995213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Provider Name | Myun Ki Kim |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104888940 PECOS PAC ID: 7719947274 Enrollment ID: I20041020000154 |
Provider Name | Irine S Onyah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811497498 PECOS PAC ID: 2264796010 Enrollment ID: I20180503001937 |
Provider Name | Akherenwei Gwan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447670732 PECOS PAC ID: 6204150394 Enrollment ID: I20190115001673 |
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