# RENAISSANCE EAST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Springdale East
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013166602
- **Authorized official:** JAY FLATT (CFO)
- **Authorized official phone:** (847) 933-2600

## Contact information

- **Practice address:** 7255 E BROADWAY RD, MESA, AZ 85208-9201
- **Practice address phone:** (480) 981-8844
- **Practice address fax:** (480) 324-8362
- **Mailing address:** 7255 E BROADWAY RD, MESA, AZ 85208-9201
- **Mailing address phone:** (480) 981-8844
- **Mailing address fax:** (480) 324-8362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | AZ | Yes |

## Other

- **Enumeration date:** 09/18/2008
- **Last updated:** 10/24/2013