Lifetime Resources, Inc.
NPI #1003021874 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1003021874
- Entity Type
- Organization
- Organization Name
- Lifetime Resources, Inc.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 14, 2007
- Last Updated
- Jul 7, 2017
Practice Location
- Address
- 220 DORCHESTER PL
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28412-7324
- Phone
- (910) 762-1189
Authorized Official
- Name
- DR. ROBERT T. THACKER, JR., PH.D.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (910) 762-1189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Intermediate Care Facility, Intellectual Disabilities |
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