Longevity Center LLC
Longevity Center LLC provides Family Medicine Physician services in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2008.
- Licensed in
- MI
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2251 E Paris Ave SEGrand Rapids, MI 49546-2431 Not confirmed with CMS for 17 years — call before visiting
Phone: (616) 956-6090
Fax: (616) 956-6099
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 5101007920 (MI) |
|---|
Record details
| NPI number | 1144499195 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cheryl Allen — Billing Manager · (616) 897-2142 |
| NPI enumerated | February 25, 2008 |
| Last updated in NPPES | May 14, 2009 |
| Mailing address | 2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 |
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