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Contact Information

RENEWED LIVING L.L.C.
12224 17TH AVE S
BURNSVILLE, MN55337
 Phone: 952-393-1855
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for RENEWED LIVING L.L.C.

NPI Number 1710716873
LBN Legal business name RENEWED LIVING L.L.C.
Authorized official MOHAMED AHMED - (EMPLOYEE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2024
Last updated 07/29/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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