OrganizationActive
Age Well Health Solutions L.L.C.
NPI 1023769312 · Health Service Clinic/Center · Manchester, MO
Provider details
- NPI number
- 1023769312
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Rudberg, Doctor(314) 330-5707
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
134 Enchanted Pkwy Ste 104
Manchester, MO 63021-5495
Phone: (314) 227-8888
Approximate (ZIP-level) locationGet directions
Mailing address
910 16th St
Marysville, MI 48040-1627
Registry dates
- Enumerated
- 2022-01-18
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.