# VITALITY ME

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

## Provider details

- **NPI number:** 1588904270
- **Authorized official:** FAITH L KEEFER (BILLING)
- **Authorized official phone:** (920) 886-0818

## Contact information

- **Practice address:** 300 N COMMERCIAL ST, SUITE 2, NEENAH, WI 54956-2619
- **Practice address phone:** (920) 886-0818
- **Mailing address:** 300 N COMMERCIAL ST, NEENAH, WI 54956-2619
- **Mailing address phone:** (920) 886-0818
- **Mailing address fax:** (920) 886-0573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 421430202 | WI | — |
| 261QM2500X | Medical Specialty Clinic/Center | 42143020 | WI | Yes |

## Other

- **Enumeration date:** 02/18/2013
- **Last updated:** 02/18/2013