Organization
LIFESPAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN DEVORE BA, QP (CHIEF COMPLIANCE OFFICER)
(704) 763-1887
Entity
Organization
Contact information
Practice address
601 N GRAHAM ST, CHARLOTTE, NC 28202-1439
(704) 333-7107
(704) 333-7734
Mailing address
1511 SHOPTON RD STE A, CHARLOTTE, NC 28217-3240
(704) 763-1887
(704) 944-5102
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
6055233
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408802
—
NC
Enumeration date
01/10/2007
Last updated
01/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us