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Life, Inc.
Intellectual Disabilities Intermediate Care Facility in Supply, North Carolina
NPI 1568516938

Life, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Leland, NC. Life, Inc. practices in Supply, NC. The NPI Number for Life, Inc. is 1568516938 and holds a License No. MHL-010-009 (North Carolina).

The current practice location address for Life, Inc. is 156 Countryside Dr Sw, Supply, NC and can be reached out via phone at 910-754-2854 and via fax at 910-799-3680.

Location: 156 Countryside Dr Sw, Supply, NC, 28451-7413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568516938
Provider Name
Life, Inc.
Credential
Provider Entity Type
Organization
Address
156 Countryside Dr Sw, Supply, NC, 28451-7413
Phone Number
910-754-2854
Fax Number
910-799-3680
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
922152 01 NC STATE FACILITY ID
340601W 05 NC
institution
Provider Business Practice Location Address Details
Address
156 Countryside Dr Sw
City
Supply
State
North Carolina
Zip
28462-3300
Phone Number
910-754-2854
Fax Number
910-799-3680
person
Provider Business Mailing Address Details
Address
156 Countryside Dr Sw
City
Supply
State
North Carolina
Zip
28462-3300
Phone Number
910-754-2854
Fax Number
910-799-3680
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-010-009 (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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