Renewed Life Center, Llc

LBN: Renewed Life Center, Llc
Renewed Life Center, Llc is an health care organization with primary practice located at 410 N. Kings Rd. Suite 3, Nampa ID 83687. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Renewed Life Center, Llc can be contacted via phone (208) 467-4889, or through Nettles, Alan Alan via phone (208) 467-4889.

Contact Information

Primary practice address
410 N. Kings Rd. Suite 3 Nampa ID 83687
Phone: (208) 467-4889
Fax: (208) 467-4499
Website:
Map and Directions
Authorized official contact:
Name: Nettles, Alan Alan
Phone: (208) 467-4889

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1780877456
LBN Legal business name Renewed Life Center, Llc
DBA Doing business as
Authorized official Nettles, Alan Alan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2007
Last updated Jun 24th, 2010 - about 14 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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