NPI 1053506279

Lifespan, INC.

Organisation Developmentally Disabled Services Day Training Agency Charlotte, NC

Practice location

Address: 200 Clanton Rd, Charlotte, NC 28217-1304
Phone: (704) 944-5100
Fax: (704) 944-5102

Authorised official

Name: Davan Cloninger
Title: Ceo/President
Phone: (704) 944-5100

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence MHL--060-209 (NC)

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

Registry record

NPI: 1053506279
Entity type: Organization
NPI issued: 11 Sep 2007
Record last updated: 3 Jun 2013

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.