Organization
RENAISSANCE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALMATINE CRUMBLEY (OWNER/ADMINISTRATOR)
(305) 491-1726
Entity
Organization
Contact information
Practice address
970 NW 52ND ST, MIAMI, FL 33127-2026
(305) 491-1726
Mailing address
970 NW 52ND ST, MIAMI, FL 33127-2026
(305) 491-1726
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12068
FL
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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