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Life, Inc.
Intellectual Disabilities Intermediate Care Facility in Edenton, North Carolina
NPI 1326192899

Life, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Edenton, NC. Life, Inc. practices in Edenton, NC. The NPI Number for Life, Inc. is 1326192899 and holds a License No. MHL-021-005 (North Carolina).

The current practice location address for Life, Inc. is 206 Luke St, Edenton, NC and can be reached out via phone at 252-482-8900 and via fax at 252-482-8881.

Location: 206 Luke St, Edenton, NC, 27932-0070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326192899
Provider Name
Life, Inc.
Credential
Provider Entity Type
Organization
Address
206 Luke St, Edenton, NC, 27932-0070
Phone Number
252-482-8900
Fax Number
252-482-8881
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340607P 05 NC
944505 01 NC STATE FACILITY ID
institution
Provider Business Practice Location Address Details
Address
206 Luke St
City
Edenton
State
North Carolina
Zip
27932-9614
Phone Number
252-482-8900
Fax Number
252-482-8881
person
Provider Business Mailing Address Details
Address
206 Luke St
City
Edenton
State
North Carolina
Zip
27932-9614
Phone Number
252-482-8900
Fax Number
252-482-8881
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-021-005 (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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