| Renewed Medical Center Llc | |
|
29787 John J Williams Hwy #6 Millsboro DE 19966-4097 | |
| (302) 648-2733 | |
| Not Available |
| Full Name | Renewed Medical Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 29787 John J Williams Hwy #6, Millsboro, Delaware |
| Authorized Official Name and Position | Adaeza Udezue (OWNER/PRESIDENT) |
| Authorized Official Contact | 3026482733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Medical Center Llc 29787 John J Williams Hwy #6 Millsboro DE 19966-4097 Ph: (302) 648-2733 | Renewed Medical Center Llc 29787 John J Williams Hwy #6 Millsboro DE 19966-4097 Ph: (302) 648-2733 |
| NPI Number | 1972088516 |
|---|---|
| Provider Enumeration Date | 09/29/2018 |
| Last Update Date | 11/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972088516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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