LIFE, INC. is an intermediate care facility mentally retarded in Supply, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LIFE, INC. NPI is 1134273907. The provider is registered as an organization entity type.
The provider Is Doing Business As Life, Inc./folly Street Group Home.
The provider's business location address is:
65 FOLLY ST SW
SUPPLY, NC
ZIP 28462-338
Phone: (910) 754-2855
Fax: (910) 799-3680
The provider's authorized official is Richard Lynn Smith .
The authorized official title is Vp Of Business Operations and has the following contact phone number (919) 778-1900.
The CLIA number assigned to this NPI record is 34D2223830 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/22/2007 and was last updated on 12/15/2017.