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Life, Inc.
Intellectual Disabilities Intermediate Care Facility in Plymouth, North Carolina
NPI 1578617932

Life, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Edenton, NC. Life, Inc. practices in Plymouth, NC. The NPI Number for Life, Inc. is 1578617932 and holds a License No. MHL-094-004 (North Carolina).

The current practice location address for Life, Inc. is 1116 Wilson Street Ext, Plymouth, NC and can be reached out via phone at 252-793-6440 and via fax at 252-974-1211.

Location: 1116 Wilson Street Ext, Plymouth, NC, 27932-0070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578617932
Provider Name
Life, Inc.
Credential
Provider Entity Type
Organization
Address
1116 Wilson Street Ext, Plymouth, NC, 27932-0070
Phone Number
252-793-6440
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
340609U 05 NC
925415 01 NC STATE FACILITY ID
institution
Provider Business Practice Location Address Details
Address
1116 Wilson Street Ext
City
Plymouth
State
North Carolina
Zip
27962-9200
Phone Number
252-793-6440
Fax Number
252-974-1211
person
Provider Business Mailing Address Details
Address
1116 Wilson Street Ext
City
Plymouth
State
North Carolina
Zip
27962-9200
Phone Number
252-793-6440
Fax Number
252-974-1211
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-094-004 (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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