Organization
LIFESPIRE, INC.
Active
Other names
Association for CRMD
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LEE (CHIEF FINANCIAL OFFICER)
(212) 741-0100
Entity
Organization
Contact information
Practice address
107 JUMEL ST, STATEN ISLAND, NY 10308-1720
(718) 317-2398
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
7338444
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01496982
—
NY
Enumeration date
05/07/2007
Last updated
07/11/2012
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