Ageless Living Institute Llc
LBN: Ageless Living Institute Llc
Ageless Living Institute Llc is an health care organization with primary practice located at 1670 Willow Creek Rd Ste A , Prescott AZ 86301-1112. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is the primary health care specialty.
Ageless Living Institute Llc can be contacted via phone (928) 255-5191, or through Kledzik, Mark Joseph via phone (928) 255-5191.
Contact Information
Primary practice address
1670 Willow Creek Rd Ste A
Prescott AZ 86301-1112
Phone: (928) 255-5191
Fax: (928) 316-9703
Website:
Health care specialties
Profile Details
| NPI number | 1770160269 |
|---|---|
| LBN Legal business name | Ageless Living Institute Llc |
| DBA Doing business as | |
| Authorized official | Kledzik, Mark Joseph |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2021 |
| Last updated | Feb 2nd, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770160269 | NPPES |
| Arizona | MEDICAID | 1437452836 |
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