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, Nursing & Custodial Care Facilities / Adult Care Home. 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:
Map and Directions
Authorized official contact:
Name: Harrison, Diane
Phone: (919) 734-0266

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1346394012
LBN Legal business name Renu Life Extended, Inc
DBA Doing business as
Authorized official Harrison, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Apr 5th, 2024 - about 8 months 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 1346394012 NPPES
North Carolina MEDICAID 7804269
North Carolina Other MHL-096-277
North Carolina MEDICAID 3408908
North Carolina MEDICAID 1346394012

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