# LIFESPAN THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEART OF CARDON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275961567
- **Legal business name:** HEART OF CARDON
- **Authorized official:** BETHANY DOSECK (PTA)
- **Authorized official phone:** (317) 573-1037

## Contact information

- **Practice address:** 118 MEDICAL DR, CARMEL, IN 46032-2923
- **Practice address phone:** (317) 573-1037
- **Mailing address:** 118 MEDICAL DR, CARMEL, IN 46032-2923
- **Mailing address phone:** (317) 573-1037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 06004741A | IN | Yes |

## Other

- **Enumeration date:** 10/23/2013
- **Last updated:** 10/23/2013
