Lifespan, Inc.
Organization Active NPI Developmentally Disabled Services Day Training Agency · Waynesville, NC
NPI 1497940613 · NPPES record last updated Jun 3, 2013
Key facts
- NPI
- 1497940613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- MHL-044-041 (NC)
- Legal business name
- LIFESPAN, INC.
- Practice address
- 627 N Main St
Suite 1
Waynesville, NC 28786-3819 - Phone
- (828) 452-1720
- Fax
- (828) 452-1721
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Davan Cloninger, BA, MA
- Title
- Ceo/President
- Phone
- (704) 944-5100
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Lifespan Inc
Locations
627 N Main St
#1
Waynesville, NC 28786
Phone (828) 452-1720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MHL-044-041 | NC | Yes |
Addresses
Primary practice location
627 N Main St
Suite 1
Waynesville, NC 28786-3819
Mailing address
200 Clanton Rd
Charlotte, NC 28217-1304
Phone (704) 944-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300695B | Medicaid | NC |
Other providers in Waynesville, NC
- Liberty Corner Enterprises, Inc.
- Life With Ease Counseling, PLLC
- Life With Ease Counseling, PLLC
- Lifespan Inc
- Lifespan Incorporated
- Lifespan, Inc.
- Lifespan, Inc.
- Cheryl Dawn Lindsey
- Sarah Lipham
- LL Ballance DDS PLLC
All providers in Waynesville, NC · Developmentally Disabled Services Day Training Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.