1619013695 LIFESPAN, INC.
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- LIFESPAN, INC.
- Enumeration Date
- January 29, 2007
- Last Update
- November 5, 2018
- Authorized Official
- MS. ROBIN DEVORE BA
VP CORPORATE COMPLIANCE/PROGRAM OPS
Phone: (704) 944-5100
Practice Location
- Address
- 628 FLOWE DR
CHARLOTTE, NC 282135607 - Phone
- (704) 598-6002
- Fax
- (704) 944-5102
Mailing Address
- Address
- 1511 SHOPTON RD
SUITE A
CHARLOTTE, NC 282173239 - Phone
- (704) 944-5100
- Fax
- (704) 944-5102
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL-060-150 | NC | No |
| Developmentally Disabled Services Day Training Agency | 251C00000X | Day Training, Developmentally Disabled Services | MHL-060-150 | NC | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408802 | 05 | NC | N/A |
Frequently Asked Questions
What is LIFESPAN, INC.'s NPI number?
LIFESPAN, INC.'s NPI number is 1619013695.
Which doctor has NPI number 1619013695?
The doctor with NPI number 1619013695 is LIFESPAN, INC..
What is LIFESPAN, INC.'s practice address?
LIFESPAN, INC.'s practice address is 628 FLOWE DR, CHARLOTTE, NC, 282135607.
Which doctor practices at 628 FLOWE DR, CHARLOTTE, NC, 282135607?
LIFESPAN, INC. practices at 628 FLOWE DR, CHARLOTTE, NC, 282135607.
What is LIFESPAN, INC.'s mailing address?
LIFESPAN, INC.'s mailing address is 1511 SHOPTON RD, SUITE A, CHARLOTTE, NC, 282173239.
What is LIFESPAN, INC.'s phone number?
LIFESPAN, INC.'s phone number is (704) 598-6002.
Who is (704) 598-6002?
(704) 598-6002 is the phone number for LIFESPAN, INC..
What is LIFESPAN, INC.'s specialty?
LIFESPAN, INC.'s specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is LIFESPAN, INC.?
LIFESPAN, INC. is a Intellectual Disabilities Intermediate Care Facility.
Is LIFESPAN, INC. a Intermediate Care Facility, Intellectual Disabilities?
Yes, LIFESPAN, INC. is a Intermediate Care Facility, Intellectual Disabilities.
Is LIFESPAN, INC. still practicing?
Yes, LIFESPAN, INC. is currently practicing.
Is LIFESPAN, INC. accepting new patients?
LIFESPAN, INC. may be accepting new patients. Please call their office at (704) 598-6002 to inquire about availability.
Is NPI 1619013695 still active?
Yes, NPI 1619013695 is currently active.
Where does LIFESPAN, INC. practice?
LIFESPAN, INC. practices in CHARLOTTE, NC.