Organization
RENAISSANCE RANCH
Active
Organization
RENAISSANCE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HR BROWN LSAC (EXECUTIVE DIRECTOR)
(801) 545-0406
Entity
Organization
Contact information
Practice address
2829 W 13800 S, BLUFFDALE, UT 84065-5902
(801) 545-0406
(801) 545-1092
Mailing address
2829 W 13800 S, BLUFFDALE, UT 84065-5902
(801) 545-0406
(801) 545-1092
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
13741
UT
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up