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Organization
RENU LIFE, LLC
Active
Organization
RENU LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE HARRISON (PRESIDENT)
(919) 734-0266
Entity
Organization
Contact information
Practice address
1206 N BERKELEY BLVD STE L, GOLDSBORO, NC 27534-3476
(919) 734-0266
Mailing address
501 FOREST HILL DR, GOLDSBORO, NC 27534-1824
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
Primary
—
NULL
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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