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Organization
AGENCY FOR VITAL SERVICES LLC
Active
Organization
AGENCY FOR VITAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDA MARIE ALICE VITAL (CHIEF EXECUTIVE OFFICER)
(305) 714-9462
Entity
Organization
Contact information
Practice address
200 S BISCAYNE BLVD., SUITE 2790, MIAMI, FL 33131
(305) 714-9462
(305) 402-3307
Mailing address
200 S BISCAYNE BLVD., SUITE 2790, MIAMI, FL 33131
(305) 714-9462
(305) 402-3307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
07/16/2019
Last updated
07/17/2019
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