| Organization Name: | RENAISSANCE HEALTHCARE LLC |
| NPI Number: | 1295074904 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA LYNN KNOUREK (C.O.O) |
| Mailing Address: | 1840 E University Dr Ste. 3 Mesa |
| State: | AZ US |
| Postal Code: | 852038237 |
| Phone Number: | 4802682660 |
| Fax Number: | 4802682661 |
| NPI Enumeration Date: | 02/01/2013 |
| NPI Last Update Date: | 02/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |