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Contact Information

RENEST RECOVERY SUPPORT SERVICES
413 E DIXIE AVE STE 106
ELIZABETHTOWN, KY42701-1162
 Phone: 270-839-6743
 Fax: 270-506-3253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Taxi

344600000X
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for RENEST RECOVERY SUPPORT SERVICES

NPI # 1740907096
LBN Legal business name RENEST RECOVERY SUPPORT SERVICES
Authorized official THERESA WADDELL - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/26/2022
Last updated 10/26/2022 - About 4 years ago
Identifiers
KY Medicaid 7100811570
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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