Organization
LONGEVITY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANESIA SALMON (PART OWNER)
(470) 823-6497
Entity
Organization
Contact information
Practice address
2866 PORT ROYAL LN, DECATUR, GA 30034-2767
(470) 284-1253
Mailing address
2866 PORT ROYAL LN, DECATUR, GA 30034-2767
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/04/2024
Last updated
02/04/2025
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