Organization
VITALITY GROUP INC
Active
Other names
Vitality Health Services inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELOISA ORIAL (PRESIDENT)
(248) 948-7985
Entity
Organization
Contact information
Practice address
19189 W 10 MILE RD, STE 101, SOUTHFIELD, MI 48075-2453
(313) 388-9740
(313) 388-9741
Mailing address
19189 W 10 MILE RD, STE 101, SOUTHFIELD, MI 48075-2453
(313) 388-9740
(313) 388-9741
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH242410
BLUE CROSS
MI
Enumeration date
08/21/2008
Last updated
06/06/2014
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