A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Assisted Living, Behavioral Disturbances |
3104A0630X |
| NPI # | 1760332571 |
| LBN Legal business name | RENAUD FRUITFUL LIVING |
| Authorized official | KIOMA RENAUD - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/31/2026 |
| Last updated | 01/31/2026 - About 4 months ago |
| Identifiers | n/a |
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