Provider Demographics
NPI:1003148172
Name:RENEWAL UNLIMITED, INC.
Entity Type:Organization
Organization Name:RENEWAL UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIPULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1608-742-5329
Mailing Address - Street 1:2900 RED FOX RUN
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:WI
Mailing Address - Zip Code:53901-3400
Mailing Address - Country:US
Mailing Address - Phone:608-742-5329
Mailing Address - Fax:608-742-5481
Practice Address - Street 1:2946 RED FOX RUN
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:WI
Practice Address - Zip Code:53901-3400
Practice Address - Country:US
Practice Address - Phone:608-742-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management