Organization · Type 2 NPI

Lifespan, Inc.

Intellectual Disabilities Intermediate Care Facility · Charlotte, NC

NPI number 1316083371 Active

Practice location

1801 Oak St
Charlotte, NC 28269-4869

Call (704) 596-4135 Map

Fax (704) 598-3634

Mailing address

1511 Shopton Rd, Suite A
Charlotte, NC 28217-3239

Specialties and licenses

TaxonomyCodeLicense
Developmentally Disabled Services Day Training Agency 251C00000XMHL-060-018 (NC)
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XMHL-060-018 (NC)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1316083371

Lifespan, Inc.'s National Provider Identifier is 1316083371, issued on Jan 29, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 5, 2018.