Functional Vitality
LBN: Functional Vitality
Functional Vitality is an health care organization with primary practice located at 2375 Wall St Se Ste 240 , Conyers GA 30013-6702. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty.
Functional Vitality can be contacted via phone (678) 278-8348, or through Echavarria, Latess via phone (470) 266-0623.
Contact Information
Primary practice address
2375 Wall St Se Ste 240
Conyers GA 30013-6702
Phone: (678) 278-8348
Fax: (470) 276-3158
Website:
Authorized official contact:
Name: Echavarria, Latess Occupational Therapist (OT)
Phone: (470) 266-0623
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
Profile Details
| NPI number | 1497484778 |
|---|---|
| LBN Legal business name | Functional Vitality |
| DBA Doing business as | |
| Authorized official | Echavarria, Latess Occupational Therapist (OT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 10th, 2022 |
| Last updated | Jun 16th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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