Organization
VITALITY MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD S PACKER (V. PRES.)
(801) 733-4449
Entity
Organization
Contact information
Practice address
7910 S 3500 E, SUITE C, SALT LAKE CITY, UT 84121-5833
(801) 733-4449
(801) 733-5797
Mailing address
7910 S 3500 E, SUITE C, SALT LAKE CITY, UT 84121-5833
(801) 733-4449
(801) 733-5797
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
F49313
UT
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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