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Organization
RENAISSANCE HEALTHCARE GROUP
Active
Organization
RENAISSANCE HEALTHCARE GROUP
Active
Other names
Pasadena Villa Smoky Mountain Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BRADY (CFO)
(615) 864-8145
Entity
Organization
Contact information
Practice address
3889 WONDERLAND LN, SEVIERVILLE, TN 37862-8288
(407) 917-0075
Mailing address
2600 LAKE LUCIEN DR STE 210, MAITLAND, FL 32751-7275
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
L000000020924
TN
Other
Enumeration date
03/03/2009
Last updated
04/06/2026
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