| NPI | 1114731924 |
|---|---|
| Doing Business As | VITAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | MARIE ELIZABETH MATEO Owner 917-373-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-04 |