# AGENCY FOR VITAL SERVICES LLC

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

## Provider details

- **NPI number:** 1144873407
- **Authorized official:** GERALDA MARIE ALICE VITAL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (305) 714-9462

## Contact information

- **Practice address:** 200 S BISCAYNE BLVD., SUITE 2790, MIAMI, FL 33131
- **Practice address phone:** (305) 714-9462
- **Practice address fax:** (305) 402-3307
- **Mailing address:** 200 S BISCAYNE BLVD., SUITE 2790, MIAMI, FL 33131
- **Mailing address phone:** (305) 714-9462
- **Mailing address fax:** (305) 402-3307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 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