Provider Demographics
NPI:1598101453
Name:LIFESHARE MANAGEMENT INC.
Entity Type:Organization
Organization Name:LIFESHARE MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF TARGETED CASE MANAGEMEN
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:850-421-2100
Mailing Address - Street 1:2509 BARRINGTON CIR STE 116
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-6801
Mailing Address - Country:US
Mailing Address - Phone:850-421-2100
Mailing Address - Fax:
Practice Address - Street 1:2509 BARRINGTON CIR STE 116
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-6801
Practice Address - Country:US
Practice Address - Phone:850-421-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management