Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renu Life Extended, Inc

Organization Community/Behavioral Health Agency · NPI 1073712428

Renu Life Extended, Inc is a Community/Behavioral Health Agency in Goldsboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Windsor Creek Pkwy
Goldsboro, NC 27534-8696
Phone: (919) 734-0266
Fax: (919) 734-9926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence HAL-096-022 (NC)

Record details

NPI number1073712428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Harrison — President · (919) 734-0266
NPI enumeratedJuly 16, 2007
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing addressPo Box 1017, Goldsboro, NC 27533-1017

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