Lifespan, Inc.

LBN: Lifespan, Inc.
Lifespan, Inc. is an health care organization with primary practice located at 130 Williamson Ave , Mount Airy NC 27030-5156. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Lifespan, Inc. can be contacted via phone (336) 783-0829, or through Cloninger, Davan via phone (704) 944-5100.

Contact Information

Primary practice address
130 Williamson Ave Mount Airy NC 27030-5156
Phone: (336) 783-0829
Fax: (336) 783-4754
Website:
Map and Directions
Authorized official contact:
Name: Cloninger, Davan BA, MS
Phone: (704) 944-5100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 86000192 North Carolina

Profile Details

NPI number 1326197062
LBN Legal business name Lifespan, Inc.
DBA Doing business as
Authorized official Cloninger, Davan BA, MS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Jun 3rd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326197062 NPPES
North Carolina MEDICAID 3408802

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