Organization
RENON ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA ONUOHA (OWNER)
(469) 441-3619
Entity
Organization
Contact information
Practice address
119 MATAMOROS ST, GRAND PRAIRIE, TX 75051-4473
(469) 441-3619
Mailing address
119 MATAMOROS ST, GRAND PRAIRIE, TX 75051-4473
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
137086
TX
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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