Organization · Type 2 NPI
Lifegate Residential Care
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Willow Spring, NC
Practice location
209 White Oak Farms Dr
Willow Spring, NC 27592-8534
Fax (919) 779-2955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Maintenance Organization | 302R00000X | MHL-051-157 (NC) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-051-157NC (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in Willow Spring
About NPI 1023234671
Lifegate Residential Care's National Provider Identifier is 1023234671, issued on Apr 18, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Willow Spring, NC. The record was last updated on Sep 11, 2025.