Organization
VITALIVE INC.
Active
Other names
Vitalife Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO SCREEN (OWNER)
(812) 863-1200
Entity
Organization
Contact information
Practice address
1313 W BROAD AVE, ALBANY, GA 31707-4343
(229) 712-1007
Mailing address
1313 W BROAD AVE, ALBANY, GA 31707-4343
(229) 712-1007
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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