Minnesota Vitality And Anti-Aging Center

LBN: Minnesota Vitality And Anti-Aging Center
Minnesota Vitality And Anti-Aging Center is an health care organization with primary practice located at 520 Highway 96 W Ste 200 , Shoreview MN 55126-1963. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Minnesota Vitality And Anti-Aging Center can be contacted via phone (651) 374-4014, or through Manship, Heather via phone (651) 245-2454.

Contact Information

Primary practice address
520 Highway 96 W Ste 200 Shoreview MN 55126-1963
Phone: (651) 374-4014
Fax: (651) 374-4019
Website:
Map and Directions
Authorized official contact:
Name: Manship, Heather
Phone: (651) 245-2454

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1598330219
LBN Legal business name Minnesota Vitality And Anti-Aging Center
DBA Doing business as
Authorized official Manship, Heather
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2021
Last updated Nov 21st, 2023 - about 3 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.

Request for update

Popular Providers