Organization
VITALITY PLUS LLC
Active
Other names
Vitality Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL B DECKER MD (OWNER)
(870) 232-5215
Entity
Organization
Contact information
Practice address
501 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2912
(870) 580-0283
(870) 580-0297
Mailing address
501 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2912
(870) 580-0283
(870) 580-0297
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
06/22/2023
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