Organization
LONGEVITY HEALTH PARK
Active
Other names
Longevity Health Infusions/inControl
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA LOVELACE-BAILEY (MANAGING PARTNER)
(917) 805-8922
Entity
Organization
Contact information
Practice address
110 N WASHINGTON ST STE 115, ROCKVILLE, MD 20850-2223
(301) 291-5828
Mailing address
110 N WASHINGTON ST STE 115, ROCKVILLE, MD 20850-2223
(301) 291-5828
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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