Provider Demographics
NPI:1568160471
Name:VITALITY HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:VITALITY HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELBA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FURLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-844-9961
Mailing Address - Street 1:6501 ARLINGTON EXPRESSWAY
Mailing Address - Street 2:B105 SUITE 2142
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211
Mailing Address - Country:US
Mailing Address - Phone:904-844-9961
Mailing Address - Fax:303-600-4673
Practice Address - Street 1:3343 PEACHTREE RD NE STE 145
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1427
Practice Address - Country:US
Practice Address - Phone:904-844-9961
Practice Address - Fax:303-600-4673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle