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Leisure Home Life, Inc.
Adult Care Home Facility in Tarboro, North Carolina
NPI 1063619724

Leisure Home Life, Inc. is an Adult Care Home Facility based in Rocky Mount, NC and is specialized in Adult Care Home. Leisure Home Life, Inc. practices in Tarboro, NC. The NPI Number for Leisure Home Life, Inc. is 1063619724 and holds a License No. FCL-033-003 (North Carolina).

The current practice location address for Leisure Home Life, Inc. is 800 E Saint John St, Tarboro, NC and can be reached out via phone at 252-641-4107 and via fax at 252-973-8599.

Location: 800 E Saint John St, Tarboro, NC, 27802-2087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063619724
Provider Name
Leisure Home Life, Inc.
Credential
Provider Entity Type
Organization
Address
800 E Saint John St, Tarboro, NC, 27802-2087
Phone Number
252-641-4107
Fax Number
252-973-8599
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
780233 05 NC
institution
Provider Business Practice Location Address Details
Address
800 E Saint John St
City
Tarboro
State
North Carolina
Zip
27886-4544
Phone Number
252-641-4107
Fax Number
252-973-8599
person
Provider Business Mailing Address Details
Address
800 E Saint John St
City
Tarboro
State
North Carolina
Zip
27886-4544
Phone Number
252-641-4107
Fax Number
252-973-8599
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL-033-003 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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