NPI | 1710317532 |
---|---|
Doing Business As | RENAISSANCE VILLAGE |
Entity Type | Organization |
Authorized Contact | ROBERT L RYNARD Chairman / President 317-627-0504 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7531) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL 1282096) |
Enumeration Date | 2013-11-14 |
Last Update Date | 2013-11-14 |