DESTINATION VITALITY LTD; NPI #1689321382

Contact Information

DESTINATION VITALITY LTD

310 SUNRISE AVE STE B
HONESDALE, PA 18431-1032

Phone: 570-801-9488
Fax: 877-675-2576
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for DESTINATION VITALITY LTD

NPI Number	`1689321382`
LBN Legal business name	DESTINATION VITALITY LTD
Authorized official	DANA GALLIK - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/03/2022
Last updated	10/31/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DESTINATION VITALITY LTD

Contact Information

Specialty

Health Service

NPI Profile & details for DESTINATION VITALITY LTD

Reviews for DESTINATION VITALITY LTD