NPI 1013201599

New Life Residential, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Four Oaks, NC

Practice location

Address: 119 Hilltop Dr, Four Oaks, NC 27524-9686
Phone: (919) 628-3339
Fax: (919) 209-9703

Authorised official

Name: Holly Grey
Title: Residential Director
Phone: (919) 710-0581

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence MHL-051-193 (NC)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1013201599
Entity type: Organization
NPI issued: 2 Jun 2011
Record last updated: 2 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.