Lifespan Incorporated | |
4322 Fairview Rd Andrews NC 28901-8114 | |
(704) 944-5100 | |
Not Available |
Full Name | Lifespan Incorporated |
---|---|
Speciality | Community/behavioral Health |
Location | 4322 Fairview Rd, Andrews, North Carolina |
Authorized Official Name and Position | Robin Devore (VP CORPORATE COMPLIANCE AND OPERATI) |
Authorized Official Contact | 7049445100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifespan Incorporated 1511 Shopton Rd Ste A Charlotte NC 28217-3240 Ph: () - | Lifespan Incorporated 4322 Fairview Rd Andrews NC 28901-8114 Ph: (704) 944-5100 |
NPI Number | 1851888721 |
---|---|
Provider Enumeration Date | 04/17/2018 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851888721 | NPI | - | NPPES |
3408802 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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