MEDICARE: LIFE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	HC1543	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881822781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE, INC

Provider Business Mailing Address
First Line	:	2609 ROYALL AVE
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-8615
Country	:	US
Telephone Number	:	919-778-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 GREEN ST
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892-2000
Country	:	US
Telephone Number	:	252-792-8120
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CONTRACT SERVICES
Name	:	JAMES WALKER
Credential	:
Telephone Number	:	919-778-1900

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	06/30/2009

Similar Medicare Providers

1023017233 — DR. STEVEN EARL SKAHILL M.D.
Practice Location Address:

239 GREEN ST
WILLIAMSTON, NC
27892-2000

Practice Phone: 252-792-0022
Practice Fax: 252-792-0027

1811087786 — DR. PAULSEN COLEMAN ARNOLD O.D.
Practice Location Address:

232 GREEN ST
WILLIAMSTON, NC
27892-2000

Practice Phone: 252-792-6611
Practice Fax: 252-799-0797

1306919139 — MARTIN-TYRRELL-WASHINGOTN DISTRICT HEALTH DEPARTMENT
Practice Location Address:

243 GREEN ST
WILLIAMSTON, NC
27892-2000

Practice Phone: 252-793-3023
Practice Fax:

1942376322 — KRISTIN WARD WARREN PA-C
Practice Location Address:

220 GREEN ST
WILLIAMSTON, NC
27892-2000

Practice Phone: 252-792-0305
Practice Fax: 252-792-0307

1124188651 — ROANOKE MEDICAL ASSOCIATES, PA
Practice Location Address:

239 GREEN ST
WILLIAMSTON, NC
27892-2000

Practice Phone: 252-792-0022
Practice Fax: 252-792-0027

1598893265 — LINCARE INC
Practice Location Address:

233 GREEN ST
WILLIAMSTON, NC
27892-2000

Practice Phone: 252-809-4240
Practice Fax: 252-809-1153

Directions to “LIFE, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.