Organization
VITALITY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON WHITTAKER (OWNER)
(347) 552-4976
Entity
Organization
Contact information
Practice address
2254 LAVISTA SQ NE, ATLANTA, GA 30324-3768
(347) 552-4976
Mailing address
2254 LAVISTA SQ NE, ATLANTA, GA 30324-3768
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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