NPI 1023162484

Life, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Washington, NC

Practice location

Address: 332 Slatestone Rd, Washington, NC 27889-9465
Phone: (252) 946-9055
Fax: (252) 974-1211
Mailing address: PO Box 1507, Washington, NC 27889-1507

Authorised official

Name: Ricky Smith
Title: Vp of Business Operations
Phone: (919) 778-1900

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence MHL-007-013 (NC)

Other Intermediate Care Facility, Intellectual Disabilities providers in North Carolina →

Registry record

NPI: 1023162484
Entity type: Organization
NPI issued: 23 Jan 2007
Record last updated: 15 Dec 2017

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.