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Organization
VITAL SUPPORT HOME CARE AGENCY, INC.
Active
Organization
VITAL SUPPORT HOME CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN SHPIGEL MBA (CEO)
(215) 379-3300
Entity
Organization
Contact information
Practice address
4711 WELLINGTON ST, PHILADELPHIA, PA 19135-1320
(215) 379-3300
(215) 379-3400
Mailing address
4711 WELLINGTON ST, PHILADELPHIA, PA 19135-1320
(215) 379-3300
(215) 379-3400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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