Organization
LIFESPRING, INC
Active
Organization
LIFESPRING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY STAWAR (CEO)
(812) 206-1234
Entity
Organization
Contact information
Practice address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 280-2080
Mailing address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 280-2080
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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