Organization
APPLIED GERONTOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PERRY CPG (GERONTOLOGIST, OWNER)
(480) 454-5674
Entity
Organization
Contact information
Practice address
2705 S ALMA SCHOOL RD STE 2, CHANDLER, AZ 85286-4400
(480) 454-5674
Mailing address
2705 S ALMA SCHOOL RD STE 2, CHANDLER, AZ 85286-4400
(480) 454-5674
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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