The Anti-Aging And Wellness Center

LBN: The Anti-Aging And Wellness Center
The Anti-Aging And Wellness Center is an health care organization with primary practice located at 655 Lake Harbour Dr Ste 900 , Ridgeland MS 39157-4355. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. The Anti-Aging And Wellness Center can be contacted via phone (601) 707-5171, or through Bonner, Donald Ray via phone (601) 421-4808.

Contact Information

Primary practice address
655 Lake Harbour Dr Ste 900 Ridgeland MS 39157-4355
Phone: (601) 707-5171
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonner, Donald Ray Doctor of Osteopathy (DO)
Phone: (601) 421-4808

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 960070 Mississippi

Profile Details

NPI number 1013286533
LBN Legal business name The Anti-Aging And Wellness Center
DBA Doing business as
Authorized official Bonner, Donald Ray Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2011
Last updated Dec 29th, 2011 - about 14 years ago

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.

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