Impact Life Group Home LLC
Impact Life Group Home LLC is a Developmentally Disabled Services Day Training Agency in Charlotte, North Carolina. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6412 Baltray RdCharlotte, NC 28278-6640
Phone: (704) 749-4556
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
|---|
Record details
| NPI number | 1932059359 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jebolisa Ilukwe — Director · (704) 749-4556 |
| NPI enumerated | February 3, 2026 |
| Last updated in NPPES | February 3, 2026 |
| Certification date | February 3, 2026 |
| Mailing address | 6412 Baltray Rd, Charlotte, NC 28278-6640 |
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