Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1568516938

Life, Inc is an Intellectual Disabilities Intermediate Care Facility in Supply, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

156 Countryside Dr SW
Supply, NC 28462-3300
Phone: (910) 754-2854
Fax: (910) 799-3680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence MHL-010-009 (NC)

Record details

NPI number1568516938
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLife, Inc
Authorized official Richard Smith — Vp Of Business Operations · (919) 778-1900
Other names Life, Inc./Lockwood Street Group Home
NPI enumeratedJanuary 23, 2007
Last updated in NPPESDecember 15, 2017
Mailing address117j Village Rd Ne, Leland, NC 28451-7413

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