# VITAL HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083348676
- **Authorized official:** TENZIN YANGCHEN CNP (OWNER)
- **Authorized official phone:** (505) 385-2852

## Contact information

- **Practice address:** 5345 WYOMING BLVD NE STE 203, ALBUQUERQUE, NM 87109-3148
- **Practice address phone:** (505) 433-4228
- **Practice address fax:** (505) 433-4249
- **Mailing address:** 3135 MOUNTAINSIDE PKWY NE, ALBUQUERQUE, NM 87111
- **Mailing address phone:** (505) 385-2852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2022
- **Last updated:** 02/06/2023