| NPI | 1639333016 |
|---|---|
| Doing Business As | VITAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ALLAN DENNIS ROSALES Clinical Operations Executive 312-989-9260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ HHA4404) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-08-29 |