| NPI | 1538410147 |
|---|---|
| Doing Business As | HEALTHY AGING CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TITSWORTH Director, Physician Services 501-776-6093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |