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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.

Location: 501 Forest Hill Dr, Goldsboro, NC, 27534-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Goldsboro
State
North Carolina
Zip
27534-1824
Phone Number
919-734-0266
Fax Number
person
Provider Business Mailing Address Details
Address
501 Forest Hill Dr
City
Goldsboro
State
North Carolina
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
320600000X
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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