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LIFE, INC.

Adult Care Home

Edenton, North Carolina

Provider NPI: 1760522478

Organization Information:
Organization Name:  LIFE, INC.


Practice Location:
200 LUKE ST  EDENTON, NC 27932 US
Tel: 919-734-4386  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N343900000XTransportation Services
Non-emergency Medical Transport (VAN)
NCMHL-021-013
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
NCMHL-021-013

Other Provider Identifiers:

IssuerNumberStateType
MHL-021-013NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1



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