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Organization
VITALA HEALTHCARE, LLC
Active
Organization
VITALA HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS WAIGWA RN (CEO)
(781) 215-4596
Entity
Organization
Contact information
Practice address
15446 N GREENWAY HAYDEN LOOP UNIT 2019, SCOTTSDALE, AZ 85260-3098
(781) 215-4596
Mailing address
15446 N GREENWAY HAYDEN LOOP UNIT 2019, SCOTTSDALE, AZ 85260-3098
(781) 215-4596
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253J00000X
Foster Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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