MEDICARE: REFUGE AND REFINE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1518819218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFUGE AND REFINE LLC

Provider Business Mailing Address
First Line	:	1110 PEONY LN
Second Line	:
City	:	YOUNGSVILLE
State	:	NC
Zip	:	27596-3334
Country	:	US
Telephone Number	:	252-762-7552
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 PEONY LN
Second Line	:
City	:	YOUNGSVILLE
State	:	NC
Zip	:	27596-3334
Country	:	US
Telephone Number	:	252-762-7552
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TYRESE LEON PERRY
Credential	:	QUALIFIED PROF.
Telephone Number	:	252-762-7552

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “REFUGE AND REFINE LLC ” Practice Location

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