Renu Life Extended, INC
NPI #1073712428 in Goldsboro, North Carolina
Provider Information
- NPI Number
- 1073712428
- Entity Type
- Organization
- Organization Name
- Renu Life Extended, INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 16, 2007
- Last Updated
- Aug 19, 2021
Practice Location
- Address
- 201 WINDSOR CREEK PKWY
- City
- Goldsboro
- State
- North Carolina
- ZIP Code
- 27534-8696
- Phone
- (919) 734-0266
Authorized Official
- Name
- MRS. DIANE HARRISON
- Title
- PRESIDENT
- Phone
- (919) 734-0266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Community/Behavioral Health |
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