| NPI | 1033829478 |
|---|---|
| Doing Business As | AGELESS HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | SONIA YENITZA RODRIGUES CEO 909-435-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |