Organization
LIFE, INC.
Active
Parent organization
LIFE, INC.
Other names
Life, Inc./Leland Day Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE, INC.
Authorized official
RICHARD LYNN SMITH (VP OF BUSINESS OPERATIONS)
(919) 778-1900
Entity
Organization
Contact information
Practice address
117J VILLAGE RD NE, LELAND, NC 28451-7413
(910) 371-0230
Mailing address
117J VILLAGE RD NE, LELAND, NC 28451-7413
(910) 371-0230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-010-064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408694
—
NC
Enumeration date
12/22/2017
Last updated
12/22/2017
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