Provider Demographics
NPI:1174261846
Name:TRITT, RENEA LEE
Entity Type:Individual
Prefix:
First Name:RENEA
Middle Name:LEE
Last Name:TRITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RENEA
Other - Middle Name:LEE
Other - Last Name:PERIANDRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20201 LORAIN RD APT 1012
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-3499
Mailing Address - Country:US
Mailing Address - Phone:216-858-9617
Mailing Address - Fax:
Practice Address - Street 1:20201 LORAIN RD APT 1012
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-3499
Practice Address - Country:US
Practice Address - Phone:216-858-9617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care