Organization
RENAISSANCE ADULT DAY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MATTHEW BAKER (PRESIDENT)
(763) 898-2053
Entity
Organization
Contact information
Practice address
3045 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-3487
(763) 433-2980
(763) 433-2982
Mailing address
3045 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-3487
(763) 433-2980
(763) 433-2982
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1028893-3-ADC
MN
Other
Enumeration date
08/09/2018
Last updated
10/07/2022
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