Organization
LONGEVITY CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AURORA Y HERNANDEZ (PRESIDENT)
(912) 729-3873
Entity
Organization
Contact information
Practice address
4445 GA HIGHWAY 40 E, SUITE 503, SAINT MARYS, GA 31558-4099
(912) 729-3873
Mailing address
4445 GA HIGHWAY 40 E, SUITE 503, SAINT MARYS, GA 31558-4099
(912) 729-3873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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