Renees Survivor Shop Llc

LBN: Renees Survivor Shop Llc
Renees Survivor Shop Llc is an health care organization with primary practice located at 5401 Secor Rd , Toledo OH 43623-1930. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Renees Survivor Shop Llc can be contacted via phone (419) 471-0603, or through Schick, Renee Michele via phone (419) 471-0603.

Contact Information

Primary practice address
5401 Secor Rd Toledo OH 43623-1930
Phone: (419) 471-0603
Fax: (419) 471-0090
Website:
Map and Directions
Authorized official contact:
Name: Schick, Renee Michele
Phone: (419) 471-0603

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1588662258
LBN Legal business name Renees Survivor Shop Llc
DBA Doing business as
Authorized official Schick, Renee Michele
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 7th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588662258 NPPES
Ohio Other 000000336645 ANTHEM
Ohio Other 110284 ANTHEM
Ohio Other 04564 ANTHEM
Ohio MEDICAID 874675764 ANTHEM
Ohio Other 7434617 ANTHEM

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