Organization
RENAISSANCE CDA RE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMERON LEMON MEMBER (MEMBER)
(208) 376-7298
Entity
Organization
Contact information
Practice address
4334 N BRIGHT ANGEL AVE, MERIDIAN, ID 83646-3611
(208) 376-7298
(208) 377-8310
Mailing address
4334 N BRIGHT ANGEL AVE, MERIDIAN, ID 83646-3611
(208) 376-7298
(208) 377-8310
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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