| NPI | 1518939404 |
|---|---|
| Doing Business As | RENAISSANCE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | DEB I MILLS Administrator 260-625-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 050002151) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2011-11-18 |