Organization
LIFESPAN, INC.
Active
Other names
LifeSpan
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA JUROFCIK (CHIEF EXECUTIVE OFFICER)
(412) 464-1300
Entity
Organization
Contact information
Practice address
314 E 8TH AVE, HOMESTEAD, PA 15120-1518
(412) 464-1300
(412) 461-7118
Mailing address
314 E 8TH AVE, HOMESTEAD, PA 15120-1518
(412) 464-1300
(412) 461-7118
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001640344-0004
—
PA
Enumeration date
07/07/2017
Last updated
07/21/2022
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