| Life, Inc./leland Day Program | |
|
117j Village Rd Ne Leland NC 28451-7413 | |
| (910) 371-0230 | |
| Not Available |
| Full Name | Life, Inc./leland Day Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117j Village Rd Ne, Leland, North Carolina |
| Authorized Official Name and Position | Richard Lynn Smith (VP OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 9197781900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life, Inc./leland Day Program 117j Village Rd Ne Leland NC 28451-7413 Ph: (910) 371-0230 | Life, Inc./leland Day Program 117j Village Rd Ne Leland NC 28451-7413 Ph: (910) 371-0230 |
| NPI Number | 1023524345 |
|---|---|
| Provider Enumeration Date | 12/22/2017 |
| Last Update Date | 12/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023524345 | NPI | - | NPPES |
| 3408694 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-010-064 (North Carolina) | Primary |
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