Renu Life Extended, Inc
LBN: Renu Life Extended, Inc
Renu Life Extended, Inc is an health care organization with primary practice located at 201 Windsor Creek Pkwy , Goldsboro NC 27534-8696. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty.
Renu Life Extended, Inc can be contacted via phone (919) 734-0266, or through Harrison, Diane via phone (919) 734-0266.
Contact Information
Primary practice address
201 Windsor Creek Pkwy
Goldsboro NC 27534-8696
Phone: (919) 734-0266
Fax: (919) 734-9926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | HAL-096-022 | North Carolina |
Profile Details
| NPI number | 1073712428 |
|---|---|
| LBN Legal business name | Renu Life Extended, Inc |
| DBA Doing business as | |
| Authorized official | Harrison, Diane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Aug 19th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073712428 | NPPES |
| North Carolina | MEDICAID | 8300919 | |
| North Carolina | Other | MHL-096-277 |
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