Life, Inc.

NPI #1316091770 in Chocowinity, North Carolina

Provider Information

NPI Number
1316091770
Entity Type
Organization
Organization Name
Life, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
LIFE, INC.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 23, 2007
Last Updated
Dec 15, 2017

Practice Location

Address
77 EDGEWOOD DR
ZIP Code
27817-8286
Phone
(252) 975-6468

Authorized Official

Name
RICHARD LYNN SMITH
Title
VP OF BUSINESS OPERATIONS
Phone
(919) 778-1900

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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