Organization
AGELESS LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL MANUEL SANTOS (OWNER)
(319) 360-9750
Entity
Organization
Contact information
Practice address
2917 TODD DR APT 3, MADISON, WI 53713-2972
(319) 360-9750
Mailing address
2917 TODD DR APT 3, MADISON, WI 53713-2972
(319) 360-9750
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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