LIFE, INC. is an intermediate care facility mentally retarded in Edenton, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LIFE, INC. NPI is 1154475515. The provider is registered as an organization entity type.
The provider's business location address is:
255 COKE AVE
EDENTON, NC
ZIP 27932-522
Phone: (252) 482-8121
Fax: (252) 482-8881
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 34D2122378 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/23/2007 and was last updated on 12/15/2017.