Provider Demographics
NPI:1407628555
Name:RENEW HOPE TRANSITION LIVING, INC.
Entity Type:Organization
Organization Name:RENEW HOPE TRANSITION LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SUDDUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-810-1868
Mailing Address - Street 1:PO BOX 645
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:MS
Mailing Address - Zip Code:39666-0645
Mailing Address - Country:US
Mailing Address - Phone:601-810-1868
Mailing Address - Fax:
Practice Address - Street 1:1126 PLEASANT DR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:MS
Practice Address - Zip Code:39652-4176
Practice Address - Country:US
Practice Address - Phone:601-810-8688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty