| The Life Renewal Center, Inc. | |
|
7116 Six Forks Rd. #g Raleigh NC 27615 | |
| (919) 847-8139 | |
| Not Available |
| Full Name | The Life Renewal Center, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 7116 Six Forks Rd., Raleigh, North Carolina |
| Authorized Official Name and Position | Brenda Carol Money (PRESIDENT) |
| Authorized Official Contact | 9198478139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Life Renewal Center, Inc. 7116 Six Forks Rd. #g Raleigh NC 27615 Ph: (919) 847-8139 | The Life Renewal Center, Inc. 7116 Six Forks Rd. #g Raleigh NC 27615 Ph: (919) 847-8139 |
| NPI Number | 1255568242 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255568242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MB9937 (North Carolina) | Primary |
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