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LIFESPIRE, INC.

Intermediate Care Facility, Mental Illness

Staten Island, New York

Provider NPI: 1578775169

Organization Information:
Organization Name:  LIFESPIRE, INC.


Practice Location:
630 HYLAN BOULEVARD  STATEN ISLAND, NY 10305 US
Tel: 718-727-2740  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
NY7338440

Other Provider Identifiers:

IssuerNumberStateType
00562905NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS NY - Page 1



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