Renu Life Extended

LBN: Renu Life Extended
Renu Life Extended is an health care organization with primary practice located at 501 Forest Hill Dr , Goldsboro NC 27534-1824. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Renu Life Extended can be contacted via phone (919) 734-0266, or through Harrison, Diane via phone (919) 734-0266.

Contact Information

Primary practice address
501 Forest Hill Dr Goldsboro NC 27534-1824
Phone: (919) 734-0266
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harrison, Diane
Phone: (919) 734-0266

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X HAL-096-022 North Carolina

Profile Details

NPI number 1912106378
LBN Legal business name Renu Life Extended
DBA Doing business as
Authorized official Harrison, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912106378 NPPES
North Carolina MEDICAID 8300919B COMMUNITY SUPPORTS

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