Organization
RENAISSANCE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBASTIAN SMITH RN (OWNER)
(602) 999-7685
Entity
Organization
Contact information
Practice address
4409 W COPLAN FARMS RD, LAVEEN, AZ 85339-7132
(602) 999-7685
Mailing address
4409 W COPLAN FARMS RD, LAVEEN, AZ 85339-7132
(602) 999-7685
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7740H
AZ
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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