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1801649090
RENAISSANCE RANCH IDAHO
RUPERT, ID
NPI
1801649090
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Entity Type
Organization
Authorized Contact
ELLY GOLESH
Administration
385-321-0244
Organization Subpart ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
RENAISSANCE RANCH IDAHO
1275 N 400 E APT F
RUPERT, ID 83350-8549
Phone number: 801-545-0406
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Mailing Address
RENAISSANCE RANCH IDAHO
2973 W 13800 S
BLUFFDALE, UT 84065-8202
Phone number:
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