Organization
RENNES ASSISTED LIVING CORP.
Active
Other names
The Residence by Rennes
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL JOHNSON (CONTROLLER)
(715) 582-2200
Entity
Organization
Contact information
Practice address
1150 LOIS STREET, DEPERE, WI 54115
(920) 983-5100
(920) 336-2316
Mailing address
261 FRENCH ST, PESHTIGO, WI 54157-1217
(715) 582-2200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17321
COMMUNITY-BASED RESIDENTIAL FACILITY LICENSE
WI
Enumeration date
04/06/2018
Last updated
09/10/2018
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