Provider Demographics
NPI:1003705161
Name:CYNTHIA & RENEW & COMPANY LLC
Entity type:Organization
Organization Name:CYNTHIA & RENEW & COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LOTT
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-524-7088
Mailing Address - Street 1:2101 CANDIS RD
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33565-6300
Mailing Address - Country:US
Mailing Address - Phone:813-524-7088
Mailing Address - Fax:813-524-7092
Practice Address - Street 1:2101 CANDIS RD
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33565-6300
Practice Address - Country:US
Practice Address - Phone:813-524-7088
Practice Address - Fax:813-524-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities