# FETTLE VIGOR HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184320319
- **Authorized official:** JOSHUA OMONKHOMION UGHULU (MANAGER)
- **Authorized official phone:** (404) 551-0549

## Contact information

- **Practice address:** 3045 WHITTIER WAY, CUMMING, GA 30040-0722
- **Practice address phone:** (404) 551-0549
- **Practice address fax:** (472) 231-1308
- **Mailing address:** 3045 WHITTIER WAY, CUMMING, GA 30040-0722
- **Mailing address phone:** (404) 551-0549
- **Mailing address fax:** (472) 231-1308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 01/31/2023