| NPI | 1235676156 |
|---|---|
| Doing Business As | RENAISSANCE TERRACE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M WRIGHT Managing Member 662-680-3148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 212) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 212) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-05-26 |