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Organization
LIFESPIRE, INC.
Active
Organization
LIFESPIRE, INC.
Active
Other names
Associatiion for CRMD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO BONILLA (CFO)
(212) 741-0100
Entity
Organization
Contact information
Practice address
2430 BATH AVENUE, BROOKLYN, NY 11214
(718) 373-3117
Mailing address
462 FASHION AVE FL 5, NEW YORK, NY 10018-7852
(212) 741-0100
(212) 320-0342
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
7061442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00772216
—
NY
Enumeration date
05/03/2007
Last updated
08/31/2026
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