Organization
INFINITE VITALITY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CLELAND (MANAGER)
(618) 980-3150
Entity
Organization
Contact information
Practice address
220 EVERGREEN LN UNIT B, GLEN CARBON, IL 62034-1754
(618) 980-3150
Mailing address
220 EVERGREEN LN UNIT B, GLEN CARBON, IL 62034-1754
(618) 980-3150
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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