Organization
GAHC4 RENAISSANCE FL TRS SUB, LLC
Active
Other names
Renaissance Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
300 W AIRPORT BLVD, SANFORD, FL 32773-8000
(407) 995-6224
Mailing address
18191 VON KARMAN AVE STE 300, IRVINE, CA 92612-7106
(949) 270-9200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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