Lifetime Resources, Inc. in Wilmington - Intermediate Care Facility, Intellectual Disabilities
Lifetime Resources, Inc. - NPI 1003021874
Lifetime Resources, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Wilmington, North Carolina. Lifetime Resources, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Lifetime Resources, Inc. is 1003021874. The last update date is 2017-07-07.
Lifetime Resources, Inc.'s current location address is 1316 S. 16th Street, Wilmington, North Carolina. You can contact this provider via phone number 9107621189 and fax number 9107621301. The mailing address for Lifetime Resources, Inc. is 1316 S. 16th Street, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lifetime Resources, Inc. |
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Address | 1316 S. 16th Street, Wilmington, North Carolina |
Phone Number | 9107621189 |
Fax Number | 9107621301 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Thacker, Jr. T. Robert |
Credentials | PH.D. |
Telephone Number | 9107621189 |
NPI Number Detail
NPI Number | 1003021874 |
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Provider Enumeration Date | 2007-05-14 |
Last Updated Date | 2017-07-07 |
Provider Mailing Address Detail
Address | 1316 S. 16th Street |
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City | Wilmington |
State | North Carolina (NC) |
Post Code | 284016422 |
Phone Number | 9107621189 |
Fax Number | 9107621301 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 3406452 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3406452 | NC | -- |
Post Comment/ Review Below
What is the Lifetime Resources, Inc.'s 1003021874?
The Lifetime Resources, Inc.'s NPI (National Provider Identifier) Number is 1003021874. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lifetime Resources, Inc.'s facilities are geographically located?
The facilities of Lifetime Resources, Inc. are physically situated at the following location: 1316 S. 16Th Street, Wilmington, NC, 284016422.
What is Lifetime Resources, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Lifetime Resources, Inc.'s area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003021874 to Lifetime Resources, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1003021874 to Lifetime Resources, Inc. on 2007-05-14.
As of what date were the details pertaining to Lifetime Resources, Inc. last refreshed?
The information related to the Lifetime Resources, Inc., including its address, specialty, and other relevant details, was last updated on 2017-07-07.