NPI 1013166602

Renaissance East, LLC

Organisation Skilled Nursing Facility Mesa, AZ

Practice location

Address: 7255 E Broadway Rd, Mesa, AZ 85208-9201
Phone: (480) 981-8844
Fax: (480) 324-8362

Authorised official

Name: Jay Flatt
Title: Cfo
Phone: (847) 933-2600

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1013166602
Entity type: Organization
NPI issued: 18 Sep 2008
Record last updated: 24 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.