Lifespan Incorporated
NPI #1811484884 in Canton, North Carolina
Provider Information
- NPI Number
- 1811484884
- Entity Type
- Organization
- Organization Name
- Lifespan Incorporated
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 16, 2018
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 264 LILLIE LN
- City
- Canton
- State
- North Carolina
- ZIP Code
- 28716-7900
- Phone
- (704) 944-5100
Authorized Official
- Name
- ROBIN DEVORE
- Title
- VP CORPORATE COMPLIANCE AND OPERATI
- Phone
- (704) 944-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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