| NPI | 1982999249 |
|---|---|
| Former Legal Business Name | VITALITY SPINE CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | JASON B FARMER Owner 803-244-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2024-08-30 |