Provider Demographics
NPI:1740026541
Name:RENEWED HOPE HEALTH & WELLNESS, LLC
Entity type:Organization
Organization Name:RENEWED HOPE HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:912-223-5970
Mailing Address - Street 1:441 FORREST COVE DR
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31546-2144
Mailing Address - Country:US
Mailing Address - Phone:912-559-2710
Mailing Address - Fax:912-216-3672
Practice Address - Street 1:191 SE BROAD ST
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:GA
Practice Address - Zip Code:31546-4628
Practice Address - Country:US
Practice Address - Phone:912-559-2710
Practice Address - Fax:912-216-3672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty