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 1568516938. The provider is registered as an organization entity type.
The provider Is Doing Business As Life, Inc./lockwood Street Group Home.
The provider's business location address is:
156 COUNTRYSIDE DR SW
SUPPLY, NC
ZIP 28462-300
Phone: (910) 754-2854
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 enumeration date for this NPI number is 1/23/2007 and was last updated on 12/15/2017.