NPI 1457904310

Renaissance Healthcare LLC

Organisation Adult Care Home Facility Griffin, GA

Practice location

Address: 419 Airport Rd, Griffin, GA 30224-4834
Phone: (770) 227-8636
Fax: (770) 227-1450
Mailing address: 415 Airport Rd, Griffin, GA 30224-4834

Authorised official

Name: Shlomo Heller
Title: Member
Phone: (470) 737-0111

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1457904310
Entity type: Organization
NPI issued: 19 Jul 2019
Record last updated: 17 Sep 2019

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.