Organization
LIFESPAN INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN DEVORE (CHIEF COMPLIANCE OFFICER)
(704) 944-5100
Entity
Organization
Contact information
Practice address
1247 JIMMIE KERR RD, GRAHAM, NC 27253-8597
(336) 578-2002
Mailing address
1511 SHOPTON RD, CHARLOTTE, NC 28217-3239
(704) 944-5100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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