Provider Demographics
NPI:1639463193
Name:RENEWLIFE HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:RENEWLIFE HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-488-7331
Mailing Address - Street 1:4302 IRON CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5277
Mailing Address - Country:US
Mailing Address - Phone:832-488-7331
Mailing Address - Fax:
Practice Address - Street 1:4302 IRON CASTLE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5277
Practice Address - Country:US
Practice Address - Phone:832-488-7331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service