Organization
VITALITY HEALTH LLC
Active
Other names
vitality health llc
Organization subpart
No
Provider details
NPI number
Authorized official
RAHIMAH BEN-ASAD RAY-EL (OWNER)
(248) 809-3119
Entity
Organization
Contact information
Practice address
20905 GREENFIELD RD STE 200, SOUTHFIELD, MI 48075-5346
(248) 809-3119
(248) 996-8273
Mailing address
20905 GREENFIELD RD, SOUTHFIELD, MI 48075-5360
(248) 809-3119
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
09/08/2021
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