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Life, Inc.
Intellectual Disabilities Intermediate Care Facility in Wilson, North Carolina
NPI 1437203890

Life, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Goldsboro, NC. Life, Inc. practices in Wilson, NC. The NPI Number for Life, Inc. is 1437203890 and holds a License No. MHL-098-011 (North Carolina).

The current practice location address for Life, Inc. is 4105 Raven Ridge Dr Nw, Wilson, NC and can be reached out via phone at 252-291-8348 and via fax at 252-291-0812.

Location: 4105 Raven Ridge Dr Nw, Wilson, NC, 27534-8615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437203890
Provider Name
Life, Inc.
Credential
Provider Entity Type
Organization
Address
4105 Raven Ridge Dr Nw, Wilson, NC, 27534-8615
Phone Number
252-291-8348
Fax Number
252-291-0812
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340603H 05 NC
922436 01 NC STATE FACILITY ID
institution
Provider Business Practice Location Address Details
Address
4105 Raven Ridge Dr Nw
City
Wilson
State
North Carolina
Zip
27896-9656
Phone Number
252-291-8348
Fax Number
252-291-0812
person
Provider Business Mailing Address Details
Address
4105 Raven Ridge Dr Nw
City
Wilson
State
North Carolina
Zip
27896-9656
Phone Number
252-291-8348
Fax Number
252-291-0812
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-098-011 (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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