| Renew 4 Life, Llc | |
|
240 S 5th W Ste E Rigby ID 83442-1476 | |
| (208) 745-0467 | |
| (208) 745-0409 |
| Full Name | Renew 4 Life, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 240 S 5th W Ste E, Rigby, Idaho |
| Authorized Official Name and Position | Christina Rinas (OWNER/OPERATOR) |
| Authorized Official Contact | 2085201690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew 4 Life, Llc 240 S 5th W Ste E Rigby ID 83442-1476 Ph: (208) 745-0467 | Renew 4 Life, Llc 240 S 5th W Ste E Rigby ID 83442-1476 Ph: (208) 745-0467 |
| NPI Number | 1326356759 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 09/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326356759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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