LONGEVITY CENTER LLC

GRAND RAPIDS, MI
NPI1144499195
Entity TypeOrganization
Authorized ContactCHERYL LYNN ALLEN
Billing Manager
616-897-2142
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101007920)
Enumeration Date2008-02-25
Last Update Date2009-05-14
Business Address
LONGEVITY CENTER LLC
2251 E PARIS AVE SE
GRAND RAPIDS, MI 49546-2431
Phone number: 616-956-6090
Mailing Address
LONGEVITY CENTER LLC
2251 E PARIS AVE SE
GRAND RAPIDS, MI 49546-2431
Phone number: 616-956-6090