Organization Name: | RENAISSANCE COMMUNITY HOMES INC. |
NPI Number: | 1730205675 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD R FUGATE (FINANCE OFFICER) |
Mailing Address: | 25 E Main St Milan |
State: | MI US |
Postal Code: | 481601284 |
Phone Number: | 7344390464 |
Fax Number: | 7344390595 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |