# VITAL HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1114588308
- **Authorized official:** DONNA MICHELE HARRIS MSN, RN (PRESIDENT)
- **Authorized official phone:** (248) 905-5056

## Contact information

- **Practice address:** 24001 SOUTHFIELD RD STE 203C, SOUTHFIELD, MI 48075-2847
- **Practice address phone:** (248) 905-5056
- **Practice address fax:** (248) 905-5058
- **Mailing address:** 24001 SOUTHFIELD RD STE 203C, SOUTHFIELD, MI 48075-2847
- **Mailing address phone:** (248) 905-5056
- **Mailing address fax:** (248) 905-5058

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2019
- **Last updated:** 06/27/2019