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Renu Life Extended, Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Goldsboro, North Carolina
NPI 1073712428

Renu Life Extended, Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Goldsboro, NC. Renu Life Extended, Inc practices in Goldsboro, NC. The NPI Number for Renu Life Extended, Inc is 1073712428 and holds a License No. (North Carolina).

The current practice location address for Renu Life Extended, Inc is 201 Windsor Creek Pkwy, Goldsboro, NC and can be reached out via phone at 919-734-0266 and via fax at 919-734-9926. You can also correspond with Renu Life Extended, Inc through the mailing address at PO BOX 1017, GOLDSBORO, NC - 27533-1017 (mailing address contact number: 919-734-0266).

Location: 201 Windsor Creek Pkwy, Goldsboro, NC, 27533-1017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073712428
Provider Name
Renu Life Extended, Inc
Credential
Provider Entity Type
Organization
Address
201 Windsor Creek Pkwy, Goldsboro, NC, 27533-1017
Phone Number
919-734-0266
Fax Number
919-734-9926
Provider Enumeration Date
07/16/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8300919 05 NC
MHL-096-277 01 NC DHSR
institution
Provider Business Practice Location Address Details
Address
201 Windsor Creek Pkwy
City
Goldsboro
State
North Carolina
Zip
27534-8696
Phone Number
919-734-0266
Fax Number
919-734-9926
person
Provider Business Mailing Address Details
Address
Po Box 1017
City
Goldsboro
State
North Carolina
Zip
27533-1017
Phone Number
919-734-0266
Fax Number
919-734-9926
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
HAL-096-022 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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