Life, Inc/Green Tee Lane

LBN: Life, Inc.
Life, Inc/Green Tee Lane is an health care organization with primary practice located at 1320 Green Tee Ln , Rocky Mount NC 27804-9635. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Life, Inc. can be contacted via phone (252) 972-6975, or through Smith, Richard Lynn via phone (919) 778-1900.

Contact Information

Primary practice address
1320 Green Tee Ln Rocky Mount NC 27804-9635
Phone: (252) 972-6975
Fax: (252) 212-0135
Website:
Map and Directions
Authorized official contact:
Name: Smith, Richard Lynn
Phone: (919) 778-1900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL-064-020 North Carolina

Profile Details

NPI number 1386798163
LBN Legal business name Life, Inc.
DBA Doing business as Life, Inc/Green Tee Lane
Authorized official Smith, Richard Lynn
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Dec 15th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386798163 NPPES
North Carolina Other 944709 STATE FACILITY ID
North Carolina MEDICAID 340606M STATE FACILITY ID

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