Organization
RSL RENAISSANCE, LLC
Active
Parent organization
RADIANT COMPANIES, INC.
Other names
THE RENAISSANCE AT COEUR D'ALENE
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIANT COMPANIES, INC.
Authorized official
JAMES GUFFEE (PRESIDENT OF MANAGER)
(503) 595-2810
Entity
Organization
Contact information
Practice address
2772 W AVANTE LOOP, COEUR D ALENE, ID 83815-0333
(208) 664-6116
(208) 664-6992
Mailing address
10220 SW GREENBURG RD STE 201, PORTLAND, OR 97223-5505
(503) 595-2810
(503) 595-2818
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8S122
—
ID
05
—
QMP000005537797
—
ID
01
—
RC-1190
RESIDENTIAL CARE FACILITY LICENSE
ID
Enumeration date
06/17/2020
Last updated
06/17/2020
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