Renaissance East, LLC
Skilled Nursing Facility in Mesa, AZ. Organization (NPI-2).
NPI number1013166602
StatusActive
Last updated in NPPESOct 24, 2013
Details
- NPI
- 1013166602
- Entity type
- Organization (NPI-2)
- Legal business name
- Renaissance East, LLC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2008
- Last updated
- Oct 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | AZ | Yes |
Other names
- Springdale East (Doing Business As)
Practice location
7255 E Broadway RdMesa, AZ 85208-9201
Phone 480-981-8844 · Fax 480-324-8362
Mailing address
7255 E Broadway RdMesa, AZ 85208-9201
Phone 480-981-8844 · Fax 480-324-8362
Authorized official
Jay Flatt
Cfo
8479332600
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