Vital Wellnes Biloxi LLC
In Home Supportive Care in Biloxi, MS. Organization (NPI-2).
NPI number1992437669
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1992437669
- Entity type
- Organization (NPI-2)
- Legal business name
- Vital Wellnes Biloxi LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2022
- Certification date
- Jun 29, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
770 Water StBiloxi, MS 39530-4220
Phone 228-265-2229
Mailing address
770 Water StBiloxi, MS 39530-4220
Phone 228-285-2229
Authorized official
Shantenette Joann Averett
Nurse Manager
2282191314
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All 11 In Home Supportive Care Agency providers in Biloxi · All 1,856 providers in Biloxi
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