Life, Inc Lockwood Street Group Home
Intermediate care facility for individuals with intellectual disabilities in Supply, NC, Medicare certification number 34G234.
Medicare certification
Provider of Services- CCN
- 34G234
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Jun 11, 1992
- Last certification
- May 28, 2025
- Beds
- 6
- Address
- 156 Countryside Road SW
Supply, NC 28462
(910) 754-2854
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Life, Inc./Lockwood Street Group Home
- Intellectual Disabilities Intermediate Care Facility
- Supply, NC
- NPI 1568516938
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.