Lifespire, Inc.

NPI #1912126152 in Woodside, New York

Provider Information

NPI Number: 1912126152
Entity Type: Organization
Organization Name: Lifespire, Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Apr 25, 2007
Last Updated: Jul 11, 2012

Practice Location

Address: 4029 61ST ST
City: Woodside
State: New York
ZIP Code: 11377-4959
Phone: (718) 899-8401

Authorized Official

Name: KEITH LEE
Title: CHIEF FINANCIAL OFFICER
Phone: (212) 741-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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