LONGEVITY CENTER LLC NPI 1144499195

NPI Information

LONGEVITY CENTER LLC is a family medicine in Grand Rapids, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LONGEVITY CENTER LLC NPI is 1144499195. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2251 E PARIS AVE SE
GRAND RAPIDS, MI
ZIP 49546-431
Phone: (616) 956-6090
Fax: (616) 956-6099

The provider's authorized official is Cheryl Lynn Allen .
The authorized official title is Billing Manager and has the following contact phone number (616) 897-2142.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 5/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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