Organization
LIFESPAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEIGH DERBY MS (CEO)
(704) 944-5100
Entity
Organization
Contact information
Practice address
1203 CREEK DR, WILKESBORO, NC 28697-8678
(336) 667-5001
(336) 667-5047
Mailing address
200 CLANTON RD, CHARLOTTE, NC 28217-1304
(704) 944-5100
(704) 944-5102
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-097-051
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408802
—
NC
Enumeration date
01/05/2007
Last updated
08/22/2020
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