Organization
VITALITY HOME THERAPIES OF MICHIGAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WILSON (CEO)
(630) 615-0668
Entity
Organization
Contact information
Practice address
34441 8 MILE RD STE 105, LIVONIA, MI 48152-4013
(630) 615-0668
(331) 248-3277
Mailing address
1815 WALLACE AVE STE 304, SAINT CHARLES, IL 60174-3421
(630) 615-0668
(331) 248-3277
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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