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Organization
VITAL HEALTH LLC
Active
Organization
VITAL HEALTH LLC
Active
Parent organization
VITAL HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITAL HEALTH LLC
Authorized official
NICOLE M SPELLIS-FREYRE CRNP (AUTHORIZED OFFICIAL)
(419) 740-3022
Entity
Organization
Contact information
Practice address
111 CLINTON ST, MAUMEE, OH 43537-2811
(419) 740-3022
(419) 740-3033
Mailing address
111 CLINTON ST, MAUMEE, OH 43537-2811
(419) 740-3022
(419) 740-3033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
09/29/2023
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