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Organization

RENAISSANCE WEST, LLC

Active
Other names
Symphony of Mesa
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAY FLATT (CFO)
(847) 933-2600
Entity
Organization

Contact information

Practice address
3130 E BROADWAY RD, MESA, AZ 85204-1740
(480) 924-7777
(480) 924-5712
Mailing address
3130 E BROADWAY RD, MESA, AZ 85204-1740
(480) 924-7777
(480) 924-5712

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
AZ

Other

Enumeration date
09/29/2008
Last updated
10/24/2013
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