Provider Demographics
NPI:1558852442
Name:RENAISSANCE COMFORT CARE INC
Entity Type:Organization
Organization Name:RENAISSANCE COMFORT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUYIWA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKURIBIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-241-8295
Mailing Address - Street 1:705 RENAISSANCE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-6331
Mailing Address - Country:US
Mailing Address - Phone:732-241-8295
Mailing Address - Fax:856-504-0200
Practice Address - Street 1:1600 GARRETT RD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-4472
Practice Address - Country:US
Practice Address - Phone:973-517-5359
Practice Address - Fax:856-504-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care