NPI | 1114071032 |
---|---|
Doing Business As | LIFE, INC./CHERRY LANE |
Entity Type | Organization |
Authorized Contact | RICHARD LYNN SMITH Senior Vice President/CFO 919-778-1900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-025-001) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2023-07-14 |