Renu Life Llc

LBN: Renu Life Llc
Renu Life Llc is an health care organization with primary practice located at 102 Tinderwood Dr , Goldsboro NC 27534-7856. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Renu Life Llc can be contacted via phone (919) 734-0266, or through Harrison, Diane via phone (919) 734-0266.

Contact Information

Primary practice address
102 Tinderwood Dr Goldsboro NC 27534-7856
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
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL-096-088 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-096-078 North Carolina

Profile Details

NPI number 1255485959
LBN Legal business name Renu Life Llc
DBA Doing business as
Authorized official Harrison, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Nov 2nd, 2015 - about 9 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 1255485959 NPPES
North Carolina MEDICAID 7803926
North Carolina MEDICAID 7803548
North Carolina MEDICAID 8300920
North Carolina MEDICAID 7803464

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