| Longevity Healthcare Llc | |
|
111 Alice Ln Mount Pocono PA 18344-7100 | |
| (570) 972-7879 | |
| (570) 867-9725 |
| Full Name | Longevity Healthcare Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 111 Alice Ln, Mount Pocono, Pennsylvania |
| Authorized Official Name and Position | Lisa Hanna (OWNER/PROVIDER) |
| Authorized Official Contact | 5704368591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Healthcare Llc 111 Alice Ln Mount Pocono PA 18344-7100 Ph: (570) 972-7879 | Longevity Healthcare Llc 111 Alice Ln Mount Pocono PA 18344-7100 Ph: (570) 972-7879 |
| NPI Number | 1316804495 |
|---|---|
| Provider Enumeration Date | 01/08/2026 |
| Last Update Date | 01/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316804495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |