NPI | 1023743879 |
---|---|
Doing Business As | VITAGLIDE, LLC |
Entity Type | Organization |
Authorized Contact | MARCELYN SUE ULLOM Chief Executive Officer 305-514-0514 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-07-17 |
Last Update Date | 2022-07-17 |