Renaissance Care Center

NPI 1174778690 - Non-emergency Medical Transport (VAN) - 343900000X

NPI Details
NPI 1174778690
Enumeration Date 11/25/2008
Last Updated 11/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KATHERINE J KATHERINE
Position ASST. CONTROLLER
Phone (309) 647-5631
Fax
Practice Location
1675 E ASH ST
CANTON IL, 61520-1510, US
Phone (309) 647-5631
Fax
Business Location
1675 E ASH ST
CANTON IL, 61520-1510, US
Phone (309) 647-5631
Fax
Toxanomy
Taxonomy Code 343900000X
License State Illinois
License Number 0040295
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According to our database, Renaissance Care Center NPI is 1174778690, taxonomy code is 343900000X and license number is 0040295, license state is located at Illinois. Renaissance Care Center physically located at 1675 E Ash St, Canton IL, 61520-1510. NPI Number 1033115704 has the healthcare provider type.

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1174778690 NPI number is provided on an as is basis without warranty of any kind. 1174778690 is maintained by the National Plan & Provider Enumeration System. The contents of Renaissance Care Center are for informational purposes only.