# LIFESPAN CARE MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1629394606
- **Authorized official:** MR. MICHAEL NEWELL RN MSN (PRESIDENT)
- **Authorized official phone:** (856) 479-9045

## Contact information

- **Practice address:** 200 FEDERAL ST, SUITE 225, CAMDEN, NJ 08103-1061
- **Practice address phone:** (856) 479-9045
- **Practice address fax:** (856) 795-1297
- **Mailing address:** 200 FEDERAL ST, SUITE 225, CAMDEN, NJ 08103-1061
- **Mailing address phone:** (856) 479-9045
- **Mailing address fax:** (856) 795-1297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 26NR06230700 | NJ | Yes |
| 251B00000X | Case Management Agency | RN201503L | PA | — |

## Other

- **Enumeration date:** 04/15/2010
- **Last updated:** 04/15/2010
