| NPI | 1730657271 |
|---|---|
| Doing Business As | VITALITY AGELESS CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | JULIE YU Owner 770-614-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251E00000X Home Health | |
| 261Q00000X | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2024-05-09 |