Lifegate Residential Care
NPI #1023234671 in Willow Spring, North Carolina
Provider Information
- NPI Number
- 1023234671
- Entity Type
- Organization
- Organization Name
- Lifegate Residential Care
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 209 WHITE OAK FARMS DR
- City
- Willow Spring
- State
- North Carolina
- ZIP Code
- 27592-8534
- Phone
- (919) 639-2777
Authorized Official
- Name
- MS. CLEOLA MAE MARTIN
- Title
- PROGRAM MANAGER
- Phone
- (919) 779-2209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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