# LONGEVITY HEALTH AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548656598
- **Authorized official:** MS. SANDRA RUSSELL ALMERICO NP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (985) 373-3126

## Contact information

- **Practice address:** 1101 VILLAGE WALK, COVINGTON, LA 70433-4006
- **Practice address phone:** (985) 373-3126
- **Practice address fax:** (225) 341-5388
- **Mailing address:** 848 E BOSTON ST, UNIT 501, COVINGTON, LA 70433-2982
- **Mailing address phone:** (985) 373-3126
- **Mailing address fax:** (225) 341-5388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | AP05758 | LA | Yes |

## Other

- **Enumeration date:** 04/07/2015
- **Last updated:** 05/07/2015