| Organization Name: | LIFESPIRE, INC. |
| NPI Number: | 1164629788 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL ODDO (EXECUTIVE VICE PRESIDENT) |
| Mailing Address: | 184-10 Jamaica Ave 5th Floor Hollis |
| State: | NY US |
| Postal Code: | 114232400 |
| Phone Number: | 7184546940 |
| Fax Number: | 7182643203 |
| NPI Enumeration Date: | 06/28/2007 |
| NPI Last Update Date: | 06/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |