| Reanuityllc | |
|
205 S Green Street Foutaincity IN 47341-0081 | |
| (765) 259-1403 | |
| Not Available |
| Full Name | Reanuityllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |