institution
Life, Inc.
Intellectual Disabilities Intermediate Care Facility in Chocowinity, North Carolina
NPI 1316091770

Life, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Washington, NC. Life, Inc. practices in Chocowinity, NC. The NPI Number for Life, Inc. is 1316091770 and holds a License No. MHL-007-006 (North Carolina).

The current practice location address for Life, Inc. is 77 Edgewood Dr, Chocowinity, NC and can be reached out via phone at 252-975-6468 and via fax at 252-974-1211.

Location: 77 Edgewood Dr, Chocowinity, NC, 27889-1507
institution
Provider Profile Details
NPI Number
1316091770
Provider Name
Life, Inc.
Credential
Provider Entity Type
Organization
Address
77 Edgewood Dr, Chocowinity, NC, 27889-1507
Phone Number
252-975-6468
Fax Number
252-974-1211
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406226 05 NC
921798 01 NC STATE FACILITY ID
institution
Provider Business Practice Location Address Details
Address
77 Edgewood Dr
City
State
Zip
27817-8286
Phone Number
252-975-6468
Fax Number
252-974-1211
person
Provider Business Mailing Address Details
Address
77 Edgewood Dr
City
State
Zip
27817-8286
Phone Number
252-975-6468
Fax Number
252-974-1211
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
MHL-007-006 (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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