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Life, Inc.
Intellectual Disabilities Intermediate Care Facility in Goldsboro, North Carolina
NPI 1750435111

Life, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Goldsboro, NC. Life, Inc. practices in Goldsboro, NC. The NPI Number for Life, Inc. is 1750435111 and holds a License No. MHL-096-003 (North Carolina).

The current practice location address for Life, Inc. is 407 N William St, Goldsboro, NC and can be reached out via phone at 919-734-1402 and via fax at 919-583-8210.

Location: 407 N William St, Goldsboro, NC, 27534-8615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750435111
Provider Name
Life, Inc.
Credential
Provider Entity Type
Organization
Address
407 N William St, Goldsboro, NC, 27534-8615
Phone Number
919-734-1402
Fax Number
919-583-8210
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3416319 05 NC
922100 01 NC STATE FACILITY ID
institution
Provider Business Practice Location Address Details
Address
407 N William St
City
Goldsboro
State
North Carolina
Zip
27530-2801
Phone Number
919-734-1402
Fax Number
919-583-8210
person
Provider Business Mailing Address Details
Address
407 N William St
City
Goldsboro
State
North Carolina
Zip
27530-2801
Phone Number
919-734-1402
Fax Number
919-583-8210
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-096-003 (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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