| Lifespring, Inc | |
|
818 Madison St Rockport IN 47635-1241 | |
| (812) 649-9168 | |
| Not Available |
| Full Name | Lifespring, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 818 Madison St, Rockport, Indiana |
| Authorized Official Name and Position | Terry Stawar (CEO) |
| Authorized Official Contact | 8122061234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespring, Inc 818 Madison St Rockport IN 47635-1241 Ph: (812) 649-9168 | Lifespring, Inc 818 Madison St Rockport IN 47635-1241 Ph: (812) 649-9168 |
| NPI Number | 1891262994 |
|---|---|
| Provider Enumeration Date | 10/26/2018 |
| Last Update Date | 05/01/2020 |
| Certification Date | 05/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891262994 | NPI | - | NPPES |
| 300018496 | Medicaid | IN |
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