| NPI | 1508292319 |
|---|---|
| Doing Business As | LIFESPAN HEALTH |
| Entity Type | Organization |
| Authorized Contact | YAINIEH T MCGINLEY CEO 731-925-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2021-01-27 |