Provider Demographics
NPI:1548778251
Name:PLEASANT RENEWAL LLC
Entity Type:Organization
Organization Name:PLEASANT RENEWAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:SHERIAL
Authorized Official - Last Name:AARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-626-8156
Mailing Address - Street 1:330 E LIBERTY ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2274
Mailing Address - Country:US
Mailing Address - Phone:810-626-8156
Mailing Address - Fax:
Practice Address - Street 1:330 E LIBERTY ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2274
Practice Address - Country:US
Practice Address - Phone:810-626-8156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care