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Life, Inc.
Intellectual Disabilities Intermediate Care Facility in Roanoke Rapids, North Carolina
NPI 1215081021

Life, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Halifax, NC. Life, Inc. practices in Roanoke Rapids, NC. The NPI Number for Life, Inc. is 1215081021 and holds a License No. MHL-042-009 (North Carolina).

The current practice location address for Life, Inc. is 28 Wood Glen Rd, Roanoke Rapids, NC and can be reached out via phone at 252-537-4686 and via fax at 252-583-1615.

Location: 28 Wood Glen Rd, Roanoke Rapids, NC, 27839-0446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215081021
Provider Name
Life, Inc.
Credential
Provider Entity Type
Organization
Address
28 Wood Glen Rd, Roanoke Rapids, NC, 27839-0446
Phone Number
252-537-4686
Fax Number
252-583-1615
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
922027 01 NC STATE FACILITY ID
3416196 05 NC
institution
Provider Business Practice Location Address Details
Address
28 Wood Glen Rd
City
Roanoke Rapids
State
North Carolina
Zip
27870-6285
Phone Number
252-537-4686
Fax Number
252-583-1615
person
Provider Business Mailing Address Details
Address
28 Wood Glen Rd
City
Roanoke Rapids
State
North Carolina
Zip
27870-6285
Phone Number
252-537-4686
Fax Number
252-583-1615
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-042-009 (North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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