| Lifespan Inc | |
|
34 Sims Cir Waynesville NC 28786-3056 | |
| (704) 944-5100 | |
| Not Available |
| Full Name | Lifespan Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 34 Sims Cir, Waynesville, North Carolina |
| Authorized Official Name and Position | Robin Devore (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7047631887 |
| 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: () - | Lifespan Inc 34 Sims Cir Waynesville NC 28786-3056 Ph: (704) 944-5100 |
| NPI Number | 1225736960 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225736960 | NPI | - | NPPES |
| 3408802 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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