Organization
THE AGELESS CENTER
Active
Other names
The Ageless Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SHAE (OWNER)
(859) 335-1330
Entity
Organization
Contact information
Practice address
149 MOORE DR, LEXINGTON, KY 40503-2918
(859) 335-1330
Mailing address
149 MOORE DR, LEXINGTON, KY 40503-2918
(859) 335-1330
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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