# APPLIED GERONTOLOGY, LLC

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

## Provider details

- **NPI number:** 1619507605
- **Authorized official:** LISA PERRY CPG (GERONTOLOGIST, OWNER)
- **Authorized official phone:** (480) 454-5674

## Contact information

- **Practice address:** 2705 S ALMA SCHOOL RD STE 2, CHANDLER, AZ 85286-4400
- **Practice address phone:** (480) 454-5674
- **Mailing address:** 2705 S ALMA SCHOOL RD STE 2, CHANDLER, AZ 85286-4400
- **Mailing address phone:** (480) 454-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 374J00000X | Doula | — | NULL | Yes |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2020
- **Last updated:** 01/19/2020
