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VITALITY AGELESS CENTER LLC
NPI 1730657271
Clinic/Center - Multi-Specialty in Suwanee, GA

Active since November 02, 2018
VITALITY AGELESS CENTER LLC, 1300 PEACHTREE INDUSTRIAL BLVD #1201, SUWANEE, GA 30024(770) 614-6266(770) 623-9949 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Feb 24, 2022, Jun 7, 2021 and 1 more (4 updates tracked since 2018).

About Vitality Ageless Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY AGELESS CENTER LLC (NPI 1730657271) is a healthcare organization registered as a multi-specialty in Suwanee, Georgia and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Ormond Beach and lists Julie Yu, Owner, as its authorized official.

NPPES Registry Identity

NPI1730657271
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVITALITY AGELESS CENTER LLC
Location AddressVITALITY AGELESS CENTER LLC, 1300 PEACHTREE INDUSTRIAL BLVD #1201Suwanee, GA 30024-4686
Mailing Address1300 Peachtree Industrial Blvd Ste 1201Suwanee, GA 30024-4550 · (770) 614-6266 · Fax (770) 623-9949
Phone(770) 614-6266
Fax(770) 623-9949
Organization SubpartNo
Authorized OfficialJulie YuOwner · (770) 614-6266
Enumeration DateNovember 2, 2018
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1730657271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
VITALITY AGELESS CENTER LLC, Suwanee, GA 30024
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Other Names 1

Doing Business AsVitality Ageless Center Llc

Secondary Practice Location 1

Location 1555 W Granada Blvd Ste E2Ormond Beach, FL 32174-9401 · Phone (386) 260-0265

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Ageless Center LLC's NPI number?

The NPI number for Vitality Ageless Center LLC is 1730657271. It was assigned to this organization in the NPPES registry on November 2, 2018.

Where is Vitality Ageless Center LLC located?

Vitality Ageless Center LLC is located at Vitality Ageless Center LLC 1300 Peachtree Industrial Blvd #1201, Suwanee, GA 30024. The listed phone number is (770) 614-6266.

What is Vitality Ageless Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Vitality Ageless Center LLC was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.