institution
Renu Life Extended
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Goldsboro, North Carolina
NPI 1912106378

Renu Life Extended is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Goldsboro, NC. Renu Life Extended practices in Goldsboro, NC. The NPI Number for Renu Life Extended is 1912106378 and holds a License No. HAL-096-022 (North Carolina).

The current practice location address for Renu Life Extended is 501 Forest Hill Dr, Goldsboro, NC and can be reached out via phone at 919-734-0266. You can also correspond with Renu Life Extended through the mailing address at 501 FOREST HILL DR, GOLDSBORO, NC - 27534-1824 (mailing address contact number: 919-734-0266).

Location: 501 Forest Hill Dr, Goldsboro, NC, 27534-1824
institution
Provider Profile Details
NPI Number
1912106378
Provider Name
Renu Life Extended
Credential
Provider Entity Type
Organization
Address
501 Forest Hill Dr, Goldsboro, NC, 27534-1824
Phone Number
919-734-0266
Fax Number
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8300919B 05 NC COMMUNITY SUPPORTS
institution
Provider Business Practice Location Address Details
Address
501 Forest Hill Dr
City
State
Zip
27534-1824
Phone Number
919-734-0266
Fax Number
person
Provider Business Mailing Address Details
Address
501 Forest Hill Dr
City
State
Zip
27534-1824
Phone Number
919-734-0266
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
HAL-096-022 (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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