| NPI | 1144703133 |
|---|---|
| Doing Business As | THE AGELESS CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SHAE Owner 859-335-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |