NPI | 1184676157 |
---|---|
Doing Business As | LIFESPAN HEALTH |
Entity Type | Organization |
Authorized Contact | YAINIEH TAYLOR MCGINLEY CEO 731-925-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2021-01-27 |