Healthcare Provider Details

I. General information

NPI: 1962333468
Provider Name (Legal Business Name): RENEWED HEALTH COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5306 SIX FORKS RD STE 107
RALEIGH NC
27609-4468
US

IV. Provider business mailing address

5306 SIX FORKS RD STE 107
RALEIGH NC
27609-4468
US

V. Phone/Fax

Practice location:
  • Phone: 919-610-4630
  • Fax:
Mailing address:
  • Phone: 919-610-4630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: DAVID BARFIELD
Title or Position: CEO
Credential:
Phone: 919-610-4630