Organization
VITALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT FORD JR. RN/PT (CEO)
(623) 205-9562
Entity
Organization
Contact information
Practice address
2730 W AGUA FRIA FWY STE 100E8, PHOENIX, AZ 85027-7201
(480) 422-4104
Mailing address
2730 W AGUA FRIA FWY STE 100E8, PHOENIX, AZ 85027-7201
(480) 422-4104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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