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Lifetime Resources, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wilmington, North Carolina
NPI 1952516700

Lifetime Resources, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Wilmington, NC. Lifetime Resources, Inc. practices in Wilmington, NC. The NPI Number for Lifetime Resources, Inc. is 1952516700 and holds a License No. 3406451 (North Carolina).

The current practice location address for Lifetime Resources, Inc. is 6732 Myrtle Grove Rd, Wilmington, NC and can be reached out via phone at 910-762-1189 and via fax at 910-762-1301.

Location: 6732 Myrtle Grove Rd, Wilmington, NC, 28401-6422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952516700
Provider Name
Lifetime Resources, Inc.
Credential
Provider Entity Type
Organization
Address
6732 Myrtle Grove Rd, Wilmington, NC, 28401-6422
Phone Number
910-762-1189
Fax Number
910-762-1301
Provider Enumeration Date
05/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406451 05 NC
institution
Provider Business Practice Location Address Details
Address
6732 Myrtle Grove Rd
City
Wilmington
State
North Carolina
Zip
28409-4804
Phone Number
910-762-1189
Fax Number
910-762-1301
person
Provider Business Mailing Address Details
Address
6732 Myrtle Grove Rd
City
Wilmington
State
North Carolina
Zip
28409-4804
Phone Number
910-762-1189
Fax Number
910-762-1301
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
3406451 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
3406451 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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