<Unavail>

LBN: Intentional Longevity, Inc.
<Unavail> is an health care organization with primary practice located at 370 N Louisiana Ave Suite D3, Asheville NC 28806-3600. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Intentional Longevity, Inc. can be contacted via phone (828) 272-1643, or through Jefferys, Grady Braxton via phone (828) 273-1643.

Contact Information

Primary practice address
370 N Louisiana Ave Suite D3 Asheville NC 28806-3600
Phone: (828) 272-1643
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jefferys, Grady Braxton PH.D.
Phone: (828) 273-1643

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X North Carolina
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X North Carolina

Profile Details

NPI number 1093174088
LBN Legal business name Intentional Longevity, Inc.
DBA Doing business as <Unavail>
Authorized official Jefferys, Grady Braxton PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2016
Last updated Feb 18th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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