Organization · Type 2 NPI
Life, Inc.
Intellectual Disabilities Intermediate Care Facility · Goldsboro, NC
NPI number
1750435111
Active
Practice location
407 N William St
Goldsboro, NC 27530-2801
Fax (919) 583-8210
Mailing address
2609 Royall Ave
Goldsboro, NC 27534-8615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | MHL-096-003 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1750435111
Life, Inc.'s National Provider Identifier is 1750435111, issued on Jan 23, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Goldsboro, NC. The record was last updated on Dec 15, 2017.