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Renu Life Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Goldsboro, North Carolina
NPI 1407055858

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 1407055858 and holds a License No. MHL-096-078 (North Carolina).

The current practice location address for Renu Life Llc is 304 S Pineview Ave, 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: 304 S Pineview Ave, Goldsboro, NC, 27533-1017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407055858
Provider Name
Renu Life Llc
Credential
Provider Entity Type
Organization
Address
304 S Pineview Ave, 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
7804269 05 NC
7803379 05 NC
institution
Provider Business Practice Location Address Details
Address
304 S Pineview Ave
City
Goldsboro
State
North Carolina
Zip
27530-6037
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.
HAL-096-022 (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-096-078 (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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