# RENAISSANCE WEST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Symphony of Mesa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790935625
- **Authorized official:** MR. JAY FLATT (CFO)
- **Authorized official phone:** (847) 933-2600

## Contact information

- **Practice address:** 3130 E BROADWAY RD, MESA, AZ 85204-1740
- **Practice address phone:** (480) 924-7777
- **Practice address fax:** (480) 924-5712
- **Mailing address:** 3130 E BROADWAY RD, MESA, AZ 85204-1740
- **Mailing address phone:** (480) 924-7777
- **Mailing address fax:** (480) 924-5712

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 10/24/2013