Organization · Type 2 NPI

Longevity Clinical LTC Associates of Ohio, Inc.

Gerontology Nurse Practitioner · Parma, OH

NPI number 1114609815 Active

Practice location

12380 Plaza Dr
Parma, OH 44130-1043

Mailing address

11780 US Highway 1 Ste N107
North Palm Beach, FL 33408-3007

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Geriatric Medicine (Family Medicine) Physician 207QG0300XNone listed
Gerontology Nurse Practitioner Primary 363LG0600XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

Gerontology Nurse Practitioner: Definition to come...

24 other providers at this address

About NPI 1114609815

Longevity Clinical LTC Associates of Ohio, Inc.'s National Provider Identifier is 1114609815, issued on Aug 2, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Parma, OH. The record was last updated on Aug 2, 2023.