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NEW LIFE RESIDENTIAL INC NPI 1013201599


NPI Information

NPI: 1013201599
Provider Name: NEW LIFE RESIDENTIAL, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
119 HILLTOP DR
FOUR OAKS, NC
ZIP 27524
Phone: (919) 628-3339
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NEW LIFE RESIDENTIAL, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Four Oaks, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. NEW LIFE RESIDENTIAL, INC NPI is 1013201599. The provider is registered as an organization entity type.

The provider's business location address is:

119 HILLTOP DR
FOUR OAKS, NC
ZIP 27524-686
Phone: (919) 628-3339
Fax: (919) 209-9703

The provider's authorized official is Holly Grey .
The authorized official title is Residential Director and has the following contact phone number (919) 710-0581.

The enumeration date for this NPI number is 6/2/2011 and was last updated on 6/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-051-193NORTH CAROLINANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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