# LONGEVITY HEALTH CENTER COMPANY

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

## Provider details

- **NPI number:** 1558691790
- **Authorized official:** JODI MCMAHON MSAOM EAMP (PROVIDER/OWNER)
- **Authorized official phone:** (509) 838-1770

## Contact information

- **Practice address:** 1801 W BROADWAY AVE STE 1, SPOKANE, WA 99201-1819
- **Practice address phone:** (509) 838-1770
- **Practice address fax:** (509) 838-2020
- **Mailing address:** 1801 W BROADWAY AVE STE 1, SPOKANE, WA 99201-1819
- **Mailing address phone:** (509) 838-1770
- **Mailing address fax:** (509) 838-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC2151 | WA | Yes |

## Other

- **Enumeration date:** 01/11/2010
- **Last updated:** 01/21/2022