| NPI | 1124075650 |
|---|---|
| Doing Business As | RENAISSANCE TERRACE CARE AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. MATHIES President Director 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000212) |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2009-09-29 |