# LIFESPAN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427018639
- **Authorized official:** DR. STEPHEN G. MOORE MD (PRESIDENT/CEO)
- **Authorized official phone:** (812) 332-2265

## Contact information

- **Practice address:** 800 BELL TRACE CIR, BLOOMINGTON, IN 47408-4405
- **Practice address phone:** (812) 335-2445
- **Practice address fax:** (812) 353-7576
- **Mailing address:** 3749 E. COVENANTER DRIVE, BLOOMINGTON, IN 47401-5454
- **Mailing address phone:** (812) 332-2265
- **Mailing address fax:** (812) 334-0853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 001614-1 | IN | Yes |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 08/22/2020