- Facility Name
- RENAISSANCE CDA RE LLC
- Type / Classification
- Assisted Living Facility
- Address
- 4334 N BRIGHT ANGEL AVE, MERIDIAN, ID 83646
- Phone Number
- (208) 376-7298
- NPI Number
- 1871461335
- Authorized Official
- KAMERON LEMON (Member)
- Enumeration Date
- 2025-10-27