Renaissance Assisted Living

NPI #1013244037 in Laveen, Arizona

Provider Information

NPI Number: 1013244037
Entity Type: Organization
Organization Name: Renaissance Assisted Living
Primary Specialty: Assisted Living Facility
Enumeration Date: Nov 12, 2009
Last Updated: Nov 12, 2009

Practice Location

Address: 4409 W COPLAN FARMS RD
City: Laveen
State: Arizona
ZIP Code: 85339-7132
Phone: (602) 999-7685

Authorized Official

Name: SEBASTIAN SMITH, RN
Title: OWNER
Phone: (602) 999-7685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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