NPI 1023234671

Lifegate Residential Care

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Willow Spring, NC

Practice location

Address: 209 White Oak Farms Dr, Willow Spring, NC 27592-8534
Phone: (919) 639-2777
Fax: (919) 779-2955

Authorised official

Name: Cleola Mae Martin
Title: Program Manager
Phone: (919) 779-2209

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence MHL-051-157NC (NC)

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

Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence MHL-051-157 (NC)

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1023234671
Entity type: Organization
NPI issued: 18 Apr 2007
Record last updated: 11 Sep 2025

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.