| NPI | 1639259179 |
|---|---|
| Doing Business As | RENAISSANCE VILLA |
| Entity Type | Organization |
| Authorized Contact | CARL FELLBAURM President 210-828-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 115207) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-07-28 |