Vitality Health Clinic

Organization Active NPI Clinic/Center · Dearborn Heights, MI

NPI 1760248587 · NPPES record last updated Feb 28, 2024

Key facts

NPI
1760248587
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
VITALITY HEALTH CLINIC
Practice address
4245 S Beech Daly St
Dearborn Heights, MI 48125-1576
Phone
(313) 671-8961
NPI assigned
Feb 28, 2024
Organization subpart
No

Authorized official

Name
Mariam Abbas, AGPCNP
Title
Nurse Practitioner
Phone
(313) 671-8961

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Vitality Health Clinic (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

4245 S Beech Daly St
Dearborn Heights, MI 48125-1576

Mailing address

4245 S Beech Daly St
Dearborn Heights, MI 48125-1576
Phone (313) 671-8961

Other providers in Dearborn Heights, MI

All providers in Dearborn Heights, MI · Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.