National Provider Identifier Database

RENAUD FRUITFUL LIVING
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

RENAUD FRUITFUL LIVING
3103 STONYBROOK DR
BOWIE, MD20715-1908
Phone: 718-813-6711
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Assisted Living, Behavioral Disturbances 3104A0630X

* Indicates primary specialty

NPI Profile & details for RENAUD FRUITFUL LIVING

NPI Number 1760332571
Legal business name
LBN
RENAUD FRUITFUL LIVING
Authorized official KIOMA RENAUD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/31/2026
Last updated 01/31/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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