Provider Demographics
NPI:1023248077
Name:RENE'S HOME CARE NURSING LLC
Entity type:Organization
Organization Name:RENE'S HOME CARE NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-381-6724
Mailing Address - Street 1:17939 RUTH ST
Mailing Address - Street 2:
Mailing Address - City:MELVINDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48122-1524
Mailing Address - Country:US
Mailing Address - Phone:313-381-6724
Mailing Address - Fax:313-381-4784
Practice Address - Street 1:6848 ALLEN RD
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2008
Practice Address - Country:US
Practice Address - Phone:313-388-3500
Practice Address - Fax:313-381-4784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health