Lifetime Resources, Inc. in Wilmington - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Lifetime Resources, Inc. - NPI 1003021874
Lifetime Resources, Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Wilmington, North Carolina. Lifetime Resources, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental 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. |
|---|---|
| Address | 1316 S. 16th Street, Wilmington, North Carolina |
| Phone Number | 9107621189 |
| Fax Number | 9107621301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Thacker, Jr. T. Robert |
| Credentials | PH.D. |
| Telephone Number | 9107621189 |
NPI Number Detail
| NPI Number | 1003021874 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2017-07-07 |
Provider Mailing Address Detail
| Address | 1316 S. 16th Street |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284016422 |
| Phone Number | 9107621189 |
| Fax Number | 9107621301 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 3406452 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
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 Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
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.