Vita Blue Homecare LLC
Home Health in Philadelphia, PA. Organization (NPI-2).
NPI number1982185369
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1982185369
- Entity type
- Organization (NPI-2)
- Legal business name
- Vita Blue Homecare LLC
- Organization subpart
- No
- Enumeration date
- Aug 23, 2018
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 36523601 | PA | Yes |
Practice location
2836 Tremont St2
Philadelphia, PA 19136-1025
Phone 610-601-4591
Mailing address
2836 Tremont St2
Philadelphia, PA 19136-1025
Phone 610-601-4591
Authorized official
Dominique Duran
President/Administrator
2679791481
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