Organization · Type 2 NPI
Life, Inc.
Intellectual Disabilities Intermediate Care Facility · Williamston, NC
NPI number
1043364672
Active
Practice location
2767 Wild Cat Rd
Williamston, NC 27892-8946
Fax (252) 974-1211
Mailing address
PO Box 1507
Washington, NC 27889-1507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | MHL-058-006 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1043364672
Life, Inc.'s National Provider Identifier is 1043364672, issued on Jan 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Williamston, NC. The record was last updated on Dec 15, 2017.