INTENTIONAL LONGEVITY INC NPI 1679923668

NPI Information

NPI: 1679923668
Provider Name: INTENTIONAL LONGEVITY INC

Doing Business As: CENTER FOR SPIRITUAL EMERGENCE & KATHAROS SANCTUARY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
370 N LOUISIANA AVE
SUITE D3 & D4
ASHEVILLE, NC
ZIP 28806
Phone: (828) 412-3688
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INTENTIONAL LONGEVITY INC is a multi-specialty clinic center in Asheville, NC. INTENTIONAL LONGEVITY INC NPI is 1679923668. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Spiritual Emergence & Katharos Sanctuary.

The provider's business location address is:

370 N LOUISIANA AVE
SUITE D3 & D4
ASHEVILLE, NC
ZIP 28806-600
Phone: (828) 412-3688

The provider's authorized official is Brack Jefferys .
The authorized official title is Owner and has the following contact phone number (828) 412-3688.

The enumeration date for this NPI number is 6/21/2016 and was last updated on 7/25/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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