Organization · Type 2 NPI

Lifespan, Inc.

Intellectual Disabilities Intermediate Care Facility · Charlotte, NC

NPI number 1841336112 Active

Practice location

5400 Tuckaseegee Rd
Charlotte, NC 28208-2522

Call (704) 393-9376 Map

Fax (704) 944-5102

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Developmentally Disabled Services Day Training Agency 251C00000XMHL-060-147 (NC)
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XMHL-060-147 (NC)

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

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About NPI 1841336112

Lifespan, Inc.'s National Provider Identifier is 1841336112, issued on Jan 30, 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.