Organization · Type 2 NPI
Life, Inc.
Intellectual Disabilities Intermediate Care Facility · Edenton, NC
NPI number
1154475515
Active
Practice location
255 Coke Ave
Edenton, NC 27932-1522
Fax (252) 482-8881
Mailing address
PO Box 70
Edenton, NC 27932-0070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | MHL-021-008 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Edenton
About NPI 1154475515
Life, Inc.'s National Provider Identifier is 1154475515, issued on Jan 23, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Edenton, NC. The record was last updated on Dec 15, 2017.