Organization
HW/WEIDCO/REN LLC
Active
Other names
Assisted Living at Renaissance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN KRAUSMAN (MANAGER)
(856) 455-2100
Entity
Organization
Contact information
Practice address
99 MANHEIM AVE, BRIDGETON, NJ 08302-2114
(856) 455-2100
Mailing address
99 MANHEIM AVE, BRIDGETON, NJ 08302-2114
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
25C001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4473701
—
NJ
Enumeration date
04/27/2015
Last updated
04/27/2015
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