Organization

Renaissance Village Al, Llc D/b/a Springdale Village Assisted Living

Assisted Living Facility in Mesa, AZ(View on Map)

Legal Business Name

Renaissance Village Al, Llc D/b/a Springdale Village Assisted Living

NPI Number

1699913160

NPI Type

Organization

Enumeration Date

01/21/2009

Specialties

(Taxonomies)

Code

310400000X

Primary Taxonomy

Yes

Licenses

State

Arizona

License Number

ALC6843

Contact
Information

Purpose

Mailing
Location

Address

7255 E BROADWAY RD
7255 E BROADWAY RD

City

Mesa
Mesa

State

AZ
AZ

Postal Code

85208-9201
85208-9201

Country

US
US

Telephone Number

(480) 981-8844
(480) 981-8844

Authorized Official

Name

Linda Carlson

Title or Position

PRESIDENT OF OPERATIONS

Telephone Number

(480) 981-8844

Identifiers

Identifier

392683

Identifier State

AZ

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/21/2009

Provider Address

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