NPI 1003965781

Lifespan, INC.

Organisation Developmentally Disabled Services Day Training Agency Statesville, NC

Practice location

Address: 302 W Broad St, Statesville, NC 28677-5260
Phone: (704) 872-8579
Fax: (704) 872-5272
Mailing address: 1511 Shopton Rd Suite a, Charlotte, NC 28217-3239

Authorised official

Name: Robin Devore
Title: Vp Corporate Compliance/Program Ops
Phone: (704) 944-5100

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 49000254 (NC)

Other Day Training, Developmentally Disabled Services providers in North Carolina →

Registry record

NPI: 1003965781
Entity type: Organization
NPI issued: 10 Jan 2007
Record last updated: 4 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.