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Renu Life Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Goldsboro, North Carolina
NPI 1255485959

Renu Life Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Goldsboro, NC. Renu Life Llc practices in Goldsboro, NC. The NPI Number for Renu Life Llc is 1255485959 and holds a License No. MHL-096-088 (North Carolina).

The current practice location address for Renu Life Llc is 102 Tinderwood Dr, 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 Llc through the mailing address at PO BOX 1017, GOLDSBORO, NC - 27533-1017 (mailing address contact number: 919-734-0266).

Location: 102 Tinderwood Dr, Goldsboro, NC, 27533-1017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255485959
Provider Name
Renu Life Llc
Credential
Provider Entity Type
Organization
Address
102 Tinderwood Dr, Goldsboro, NC, 27533-1017
Phone Number
919-734-0266
Fax Number
919-734-9926
Provider Enumeration Date
01/22/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7803926 05 NC
7803548 05 NC
8300920 05 NC
7803464 05 NC
institution
Provider Business Practice Location Address Details
Address
102 Tinderwood Dr
City
Goldsboro
State
North Carolina
Zip
27534-7856
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
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
MHL-096-078 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-096-088 (North Carolina)
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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