Organization
LIFE, INC.
Active
Parent organization
LIFE, INC.
Other names
LIFE, Inc/Green Tee Lane
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
1320 GREEN TEE LN, ROCKY MOUNT, NC 27804-9635
(252) 972-6975
(252) 212-0135
Mailing address
PO BOX 446, HALIFAX, NC 27839-0446
(252) 972-6975
(252) 212-0135
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-064-020
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340606M
—
NC
01
—
944709
STATE FACILITY ID
NC
Enumeration date
01/22/2007
Last updated
12/15/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us