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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