Organization
RENAISSANCE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE LYNN THELEN RN, BSN (ADMINISTRATOR)
(260) 637-5537
Entity
Organization
Contact information
Practice address
1503 CARROLL RD, FORT WAYNE, IN 46845-9779
(260) 637-5537
(260) 637-5537
Mailing address
1503 CARROLL RD, FORT WAYNE, IN 46845-9779
(260) 637-5537
(260) 637-5537
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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