# LIFE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFE, INC.
- **Other names:** Roanoke Trail Facility
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518007483
- **Legal business name:** LIFE, INC.
- **Authorized official:** JAMES WALKER (DIRECTOR OF CONTRACT SERVICES)
- **Authorized official phone:** (919) 778-1900

## Contact information

- **Practice address:** 185 ROANOKE TRL, MANTEO, NC 27954-9598
- **Practice address phone:** (919) 734-4386
- **Mailing address:** 2609 ROYALL AVE, GOLDSBORO, NC 27534-8615
- **Mailing address phone:** (919) 778-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL-028-013 | NC | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | MHL-028-013 | NC | — |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 12/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7805691 | — | NC |