Organization · Type 2 NPI
Lifetime Resources, Inc.
Intellectual Disabilities Intermediate Care Facility · Wilmington, NC
NPI number
1003021874
Active
Practice location
220 Dorchester Pl
Wilmington, NC 28412-7324
Fax (910) 762-1301
Mailing address
1316 S. 16th Street
Wilmington, NC 28401-6422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 3406452 (NC) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 3406452 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1003021874
Lifetime Resources, Inc.'s National Provider Identifier is 1003021874, issued on May 14, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Wilmington, NC. The record was last updated on Jul 7, 2017.