| NPI | 1184307704 |
|---|---|
| Doing Business As | LONGEVITY HEALTH INFUSIONS/INCONTROL |
| Entity Type | Organization |
| Authorized Contact | KRISTINA LOVELACE-BAILEY Managing Partner 917-805-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |