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NPI Code Detail

MEDICARE: VITALITY HEALTH SERVICES, INC

MEDICARE: VITALITY HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency116496TX

General Provider Information

NPI Number : 1538204821
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITALITY HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 9715 TELEPHONE RD STE 102
Second Line :
City : HOUSTON
State : TX
Zip : 77075-2056
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9715 TELEPHONE RD STE 102
Second Line :
City : HOUSTON
State : TX
Zip : 77075-2056
Country : US
Telephone Number : 713-987-9111
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : TONYA WILLIAMS
Credential :
Telephone Number : 713-987-9111
Provider Enumeration Date : 02/21/2007
Last Update Date : 08/22/2020

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Directions to “VITALITY HEALTH SERVICES, INC ” Practice Location

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