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Organization
LIFESPIRE, INC.
Active
Organization
LIFESPIRE, INC.
Active
Other names
Association for CRMD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LEE (CHIEF FINANCIAL OFFICER)
(212) 741-0100
Entity
Organization
Contact information
Practice address
4029 61ST ST, WOODSIDE, NY 11377-4959
(718) 899-8401
Mailing address
ONE WHITEHALL STREET, 9TH FLOOR, NEW YORK, NY 10004-2141
(212) 741-0100
(646) 473-0589
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
6376400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01114992
—
NY
Enumeration date
04/25/2007
Last updated
07/11/2012
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