RE-NU WELLNESS RETREAT LLC
NPI 1649130808
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Palm Bay, FL
- Organization
- Residential Treatment Facility, Intellec...
About RE-NU WELLNESS RETREAT LLC
This page provides the complete NPI Profile along with additional information for Re-nu Wellness Retreat Llc, a provider established in Palm Bay, Florida operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1649130808 assigned on November 2025. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Deshaunah Dixon Aprn (Owner/ceo)
- NPI
- 1649130808 Verify this NPI
- Provider Name
- RE-NU WELLNESS RETREAT LLC
- Entity Type
- Organization
- Location Address
- 2815 FOXGLOVE AVE SW PALM BAY, FL 32908
- Location Phone
- (954) 465-8304
- Mailing Address
- 2815 FOXGLOVE AVE SW PALM BAY, FL 32908
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-12-2025
- Last Update Date
- 11-12-2025
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Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649130808, enumerated as an "organization" on November 12, 2025.
The provider is located at 2815 FOXGLOVE AVE SW PALM BAY, FL 32908 and the phone number is (954) 465-8304.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.