# LIFESPAN CORPORATION

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

## Provider details

- **NPI number:** 1790221232
- **Authorized official:** CAITLYN MERCER (OTR/L)
- **Authorized official phone:** (401) 432-6800

## Contact information

- **Practice address:** 765 ALLENS AVE, PROVIDENCE, RI 02905-5443
- **Practice address phone:** (401) 432-6800
- **Mailing address:** 765 ALLENS AVE, PROVIDENCE, RI 02905-5443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | OT01595 | RI | Yes |

## Other

- **Enumeration date:** 01/09/2017
- **Last updated:** 01/09/2017