Renu Life Extended in Goldsboro - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Renu Life Extended - NPI 1912106378
Renu Life Extended is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Goldsboro, North Carolina. Renu Life Extended practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Renu Life Extended is 1912106378. The last update date is 2020-08-22.
Renu Life Extended's current location address is 501 Forest Hill Dr, Goldsboro, North Carolina. You can contact this provider via phone number 9197340266. The mailing address for Renu Life Extended is 501 Forest Hill Dr, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renu Life Extended |
|---|---|
| Address | 501 Forest Hill Dr, Goldsboro, North Carolina |
| Phone Number | 9197340266 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Harrison Diane |
| Telephone Number | 9197340266 |
NPI Number Detail
| NPI Number | 1912106378 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 501 Forest Hill Dr |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275341824 |
| Phone Number | 9197340266 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | HAL-096-022 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8300919B | NC | COMMUNITY SUPPORTS |
Post Comment/ Review Below
What is the unique identifier code issued to Renu Life Extended by the Centers for Medicare & Medicaid Services (CMS)?
The Renu Life Extended has been assigned the NPI (National Provider Identifier) 1912106378. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Renu Life Extended?
The Renu Life Extended is situated at 501 Forest Hill Dr, in the city of Goldsboro, state of NC, with the zip code 275341824.
What is Renu Life Extended's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Renu Life Extended is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.
On what date did the Renu Life Extended receive the assignment of its 1912106378 from the Centers for Medicare & Medicaid Services?
The Renu Life Extended was issued its 1912106378 by the Centers for Medicare & Medicaid Services on 2007-07-16.
When was the information related to Renu Life Extended most recently updated or refreshed?
The details pertaining to the Renu Life Extended, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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