Lifespan Inc | |
5 Oak St Asheville NC 28801-3003 | |
(704) 944-5100 | |
Not Available |
Full Name | Lifespan Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 5 Oak St, Asheville, North Carolina |
Authorized Official Name and Position | Robin Devore (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 7049445100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifespan Inc 1511 Shopton Rd Ste A Charlotte NC 28217-3240 Ph: (704) 763-1887 | Lifespan Inc 5 Oak St Asheville NC 28801-3003 Ph: (704) 944-5100 |
NPI Number | 1043858590 |
---|---|
Provider Enumeration Date | 12/16/2019 |
Last Update Date | 12/16/2019 |
Certification Date | 12/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043858590 | NPI | - | NPPES |
3408802 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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