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Lifespan, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlotte, North Carolina
NPI 1619013695

Lifespan, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Charlotte, NC. Lifespan, Inc. practices in Charlotte, NC. The NPI Number for Lifespan, Inc. is 1619013695 and holds a License No. MHL-060-150 (North Carolina).

The current practice location address for Lifespan, Inc. is 628 Flowe Dr, Charlotte, NC and can be reached out via phone at 704-598-6002 and via fax at 704-944-5102.

Location: 628 Flowe Dr, Charlotte, NC, 28217-3239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619013695
Provider Name
Lifespan, Inc.
Credential
Provider Entity Type
Organization
Address
628 Flowe Dr, Charlotte, NC, 28217-3239
Phone Number
704-598-6002
Fax Number
704-944-5102
Provider Enumeration Date
01/29/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3408802 05 NC
institution
Provider Business Practice Location Address Details
Address
628 Flowe Dr
City
Charlotte
State
North Carolina
Zip
28213-5607
Phone Number
704-598-6002
Fax Number
704-944-5102
person
Provider Business Mailing Address Details
Address
628 Flowe Dr
City
Charlotte
State
North Carolina
Zip
28213-5607
Phone Number
704-598-6002
Fax Number
704-944-5102
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
MHL-060-150 (North Carolina)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-060-150 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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