# VITALITY LLC

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

## Provider details

- **NPI number:** 1689118895
- **Authorized official:** MR. HERBERT FORD JR. RN/PT (CEO)
- **Authorized official phone:** (623) 205-9562

## Contact information

- **Practice address:** 2730 W AGUA FRIA FWY STE 100E8, PHOENIX, AZ 85027-7201
- **Practice address phone:** (480) 422-4104
- **Mailing address:** 2730 W AGUA FRIA FWY STE 100E8, PHOENIX, AZ 85027-7201
- **Mailing address phone:** (480) 422-4104

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2016
- **Last updated:** 12/06/2016