Organization · Type 2 NPI

Life, Inc.

Intellectual Disabilities Intermediate Care Facility · Edenton, NC

NPI number 1326199696 Active

Practice location

243 Coke Ave
Edenton, NC 27932-1522

Call (252) 482-7909 Map

Mailing address

PO Box 70
Edenton, NC 27932-0070

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	MHL021006 (NC)

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

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NPI record

NPI: 1326199696
Entity type: Organization (Type 2)
Issued: Jan 15, 2007
Last updated: Dec 15, 2017
Status: Active
Subpart: Yes of Life, Inc.

Other names

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Life, Inc./albemarle 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 1326199696

Life, Inc.'s National Provider Identifier is 1326199696, issued on Jan 15, 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.