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1962974352
VITALITYHOME HEALTHCARE, LLC
FAIRFAX, VA
NPI
1962974352
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Entity Type
Organization
Authorized Contact
ROY AGUILA
Director
847-346-9907
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2018-12-22
Last Update Date
2018-12-22
Business Address
VITALITYHOME HEALTHCARE, LLC
4123 FOUNTAINSIDE LN
FAIRFAX, VA 22030-7402
Phone number: 847-346-9913
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Mailing Address
VITALITYHOME HEALTHCARE, LLC
4123 FOUNTAINSIDE LN
FAIRFAX, VA 22030-7402
Phone number: 847-346-9913
Copy
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