Vitality Wellness Clinic LLC
Vitality Wellness Clinic LLC provides Specialist services in D'Iberville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.
- Licensed in
- MS
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3200 Mallett Rd D-3D'Iberville, MS 39540-9305 Not confirmed with CMS for 14 years — call before visiting
Phone: (228) 392-0900
Fax: (228) 392-0902
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 20041 (MS) |
|---|
Record details
| NPI number | 1760741698 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Crowder — Owner · (251) 591-9769 |
| Other names | Vitality Medical Clinic And Spa |
| NPI enumerated | May 12, 2012 |
| Last updated in NPPES | August 28, 2012 |
| Mailing address | 3200 Mallett Rd, Suite D-3, D'Iberville, MS 39540-9305 |