NPI 1336293794

Life, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Wilmington, NC

Practice location

Address: 105 Cherokee Trl, Wilmington, NC 28409-3407
Phone: (910) 799-9517
Fax: (910) 799-3680
Mailing address: 117j Village Rd NE, Leland, NC 28451-7413

Authorised official

Name: Richard Lynn 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-065-040 (NC)

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

Registry record

NPI: 1336293794
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.