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Organization

RENAISSANCE HEALTH CARE LLC

Active
Other names
Spanish Trails Rehabilitation Suites
Organization subpart
No

Provider details

NPI number
Authorized official
KAM MCGAVOCK (PRESIDENT)
(410) 773-1000
Entity
Organization

Contact information

Practice address
1610 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87107-7047
(410) 773-1000
Mailing address
1610 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87107-7047

Taxonomy

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

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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