Provider Demographics
NPI:1417692526
Name:STRENGTH RENEWED NURSING SERVICES
Entity Type:Organization
Organization Name:STRENGTH RENEWED NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:SHARITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:803-730-5930
Mailing Address - Street 1:136 FORUM DR STE 4
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7980
Mailing Address - Country:US
Mailing Address - Phone:803-730-5930
Mailing Address - Fax:
Practice Address - Street 1:136 FORUM DR STE 4
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7980
Practice Address - Country:US
Practice Address - Phone:803-730-5930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251E00000XAgenciesHome Health