The Life Renewal Center, Inc.

NPI 1255568242 - Clinic/Center - 261Q00000X

NPI Details
NPI 1255568242
Enumeration Date 06/17/2009
Last Updated 06/17/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BRENDA CAROL BRENDA
Position PRESIDENT
Phone (919) 847-8139
Fax
Practice Location
7116 SIX FORKS RD.
#G
RALEIGH NC, 27615, US
Phone (919) 847-8139
Fax
Business Location
7116 SIX FORKS RD.
#G
RALEIGH NC, 27615, US
Phone (919) 847-8139
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State North Carolina
License Number MB9937
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According to our database, The Life Renewal Center, Inc. NPI is 1255568242, taxonomy code is 261Q00000X and license number is MB9937, license state is located at North Carolina. The Life Renewal Center, Inc. physically located at 7116 Six Forks Rd., Raleigh NC, 27615. NPI Number 1033115704 has the healthcare provider type.

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1255568242 NPI number is provided on an as is basis without warranty of any kind. 1255568242 is maintained by the National Plan & Provider Enumeration System. The contents of The Life Renewal Center, Inc. are for informational purposes only.