Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI # | 1407626989 |
| LBN Legal business name | ADULT VITALITY HEALTHCARE LLC |
| Authorized official | RUTH GOBOURNE - (MGR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/04/2024 |
| Last updated | 01/04/2024 - About 2 years ago |
| Identifiers | n/a |
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ADULT VITALITY HEALTHCARE LLC
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