Organization
RENAISSANCE CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ALTER (CEO)
(847) 674-4700
Entity
Organization
Contact information
Practice address
1675 E ASH ST, CANTON, IL 61520-1510
(309) 647-5631
(309) 647-8957
Mailing address
3856 OAKTON ST, SUITE 200, SKOKIE, IL 60076-3454
(847) 674-4700
(874) 674-4733
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
0040295
IL
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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