LIFEVITALITY USA MEDICAL GROUP, LLC

RICHMOND HEIGHTS, OH
NPI1811541469
Entity TypeOrganization
Authorized ContactKELLI BLACK
Billing Mananger
216-512-5929
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2019-07-31
Last Update Date2019-07-31
Business Address
LIFEVITALITY USA MEDICAL GROUP, LLC
464 RICHMOND RD STE 202
RICHMOND HEIGHTS, OH 44143-2704
Phone number: 330-824-4200
Mailing Address
LIFEVITALITY USA MEDICAL GROUP, LLC
464 RICHMOND RD STE 202
RICHMOND HEIGHTS, OH 44143-2704
Phone number: 330-824-4200