Organization
LIFESPAN SENIOR LIVING
Active
Organization
LIFESPAN SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA SMITH (OWNER)
(704) 907-3422
Entity
Organization
Contact information
Practice address
715 TRINITY DR W, WILSON, NC 27893-2128
(704) 907-3422
Mailing address
6622 BRIGHTON PARK DR, MINT HILL, NC 28227-7875
(704) 907-3422
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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