Reanuityllc | |
205 S Green Street Foutaincity IN 47341-0081 | |
(765) 259-1403 | |
Not Available |
Full Name | Reanuityllc |
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Speciality | Community/behavioral Health |
Location | 205 S Green Street, Foutaincity, Indiana |
Authorized Official Name and Position | Dillon I Brockman (CEO) |
Authorized Official Contact | 7652591403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Reanuityllc Po Box 81 Fountain City IN 47341-0081 Ph: (765) 259-1403 | Reanuityllc 205 S Green Street Foutaincity IN 47341-0081 Ph: (765) 259-1403 |
NPI Number | 1902780695 |
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Provider Enumeration Date | 08/05/2025 |
Last Update Date | 08/05/2025 |
Certification Date | 07/29/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902780695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |