Organization · Type 2 NPI

Life, Inc.

Intellectual Disabilities Intermediate Care Facility · New Bern, NC

NPI number 1326192873 Active

Practice location

3700 Lavenham Rd
New Bern, NC 28562-5105

Call (252) 633-5559 Map

Fax (252) 636-1725

Mailing address

PO Box 973
New Bern, NC 28563-0973

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	MHL-025-014 (NC)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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NPI record

NPI: 1326192873
Entity type: Organization (Type 2)
Issued: Jan 22, 2007
Last updated: Dec 15, 2017
Status: Active
Subpart: Yes of Life, Inc.

Other names

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Life, Inc./lavenham Group Home · doing business as

Authorized official

Richard Lynn Smith
VP of Business Operations
(919) 778-1900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1326192873

Life, Inc.'s National Provider Identifier is 1326192873, issued on Jan 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in New Bern, NC. The record was last updated on Dec 15, 2017.