| NPI | 1093184715 |
|---|---|
| Doing Business As | RENAISSANCE MANOR ON CABOT |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |