Organization
LIFE, INC.
Active
Parent organization
LIFE, INC.
Other names
The Scott House
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE, INC.
Authorized official
MR. RICHARD LYNN SMITH (VP OF BUSINESS OPERATIONS)
(919) 778-1900
Entity
Organization
Contact information
Practice address
801 2ND ST, ELIZABETH CITY, NC 27909-3627
(919) 734-4386
Mailing address
2609 ROYALL AVE, GOLDSBORO, NC 27534-8615
(919) 778-1900
(919) 778-2920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
MHL-070-041
NC
343900000X
Non-emergency Medical Transport (VAN)
MHL-070-041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805692
—
NC
Enumeration date
02/08/2007
Last updated
01/17/2019
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