# RENU LIFE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831330356
- **Authorized official:** MRS. DIANE HARRISON (PRESIDENT)
- **Authorized official phone:** (919) 734-0266

## Contact information

- **Practice address:** 1206 N BERKELEY BLVD STE L, GOLDSBORO, NC 27534-3476
- **Practice address phone:** (919) 734-0266
- **Mailing address:** 501 FOREST HILL DR, GOLDSBORO, NC 27534-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2009
- **Last updated:** 03/12/2009
