Organization
LIFE, INC.
Active
Parent organization
LIFE, INC.
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
142 RIVERWOOD DR, HERTFORD, NC 27944-9784
(919) 778-1900
Mailing address
2609 ROYALL AVE, GOLDSBORO, NC 27534-8615
(919) 778-1900
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-072-007
NC
343900000X
Non-emergency Medical Transport (VAN)
MHL-072-007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805690
—
NC
Enumeration date
02/08/2007
Last updated
12/15/2017
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