Vitality Ageless Center Llc

Multi-Specialty



  
  Vitality Ageless Center Llc, 1300 Peachtree Industrial Blvd #1201, Suwanee
Georgia, 30024-4686

 770-614-6266    770-623-9949
Vitality Ageless Center Llc is a Multi-Specialty in Suwanee, Georgia. It is located at Vitality Ageless Center Llc, 1300 Peachtree Industrial Blvd #1201, Suwanee and it's customer support contact number is 770-614-6266. The authorized person of Vitality Ageless Center Llc is Julie Yu who is Owner of this DME and his contact number is 770-614-6266. Vitality Ageless Center Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Vitality Ageless Center Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.


DME Supplier Details:
Vitality Ageless Center Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Vitality Ageless Center Llc
Type: Multi-Specialty
Location:Vitality Ageless Center Llc, 1300 Peachtree Industrial Blvd #1201, Suwanee,
Georgia, 30024-4686
Phone:770-614-6266
Fax:770-623-9949
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Julie Yu
Position: Owner
Contact Number: 770-614-6266
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1730657271
NPI Enumeration Date: 02 Nov, 2018
NPI Last Update On: 09 May, 2024

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vitality Ageless Center Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Multi-Specialty Primary
Family Medicine Secondary
Durable Medical Equipment & Medical Supplies Secondary
Home Health Secondary
Clinic/center Secondary
Medicare Enrollment:
Vitality Ageless Center Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
6800135872O20190325002304Vitality Ageless Center LlcPART B SUPPLIER - CLINIC/GROUP PRACTICE
6800135872O20240628000026Vitality Ageless Center LlcPART B SUPPLIER - CLINIC/GROUP PRACTICE
6800135872O20240920001696Vitality Ageless Center LlcPART B SUPPLIER - CLINIC/GROUP PRACTICE
6800135872O20250110002087Vitality Ageless Center LlcPART B SUPPLIER - CLINIC/GROUP PRACTICE
6800135872O20250203002436Vitality Ageless Center LlcPART B SUPPLIER - CLINIC/GROUP PRACTICE
6800135872O20250217001207Vitality Ageless Center LlcPART B SUPPLIER - CLINIC/GROUP PRACTICE
6800135872O20250703000766Vitality Ageless Center LlcPART B SUPPLIER - CLINIC/GROUP PRACTICE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1300 Peachtree Industrial Blvd Ste 1201,
Suwanee, Georgia
Zip: 30024-4550
Phone Number: 770-614-6266
Fax Number: 770-623-9949
Patients can reach Vitality Ageless Center Llc at Vitality Ageless Center Llc, 1300 Peachtree Industrial Blvd #1201, Suwanee, Georgia or can call on customer care at 770-614-6266.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.