Provider Demographics
NPI:1376987222
Name:RENUE 008 FLINT LLC
Entity Type:Organization
Organization Name:RENUE 008 FLINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:KLAPISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-963-9313
Mailing Address - Street 1:2129 S LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-4166
Mailing Address - Country:US
Mailing Address - Phone:810-830-3931
Mailing Address - Fax:810-820-8762
Practice Address - Street 1:2129 S LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-4166
Practice Address - Country:US
Practice Address - Phone:810-830-3931
Practice Address - Fax:810-820-8762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty