Organization
RENAISSANCE VILLAGE, INC.
Active
Organization
RENAISSANCE VILLAGE, INC.
Active
Other names
Renaissance Village Rancho Belago
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA DAVIS LVN (EXECUTIVE DIRECTOR)
(951) 379-0100
Entity
Organization
Contact information
Practice address
27900 BRODIAEA AVE, MORENO VALLEY, CA 92555-5700
(951) 379-0100
Mailing address
27900 BRODIAEA AVE, MORENO VALLEY, CA 92555-5700
(951) 379-0100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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