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Organization
OPTIMA VITAE, LLC
Active
Organization
OPTIMA VITAE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEWIS MA, CCC-SLP (OWNER/PRESIDENT)
(979) 431-4848
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E STE 160, BRYAN, TX 77802-3480
(210) 305-9057
Mailing address
3201 UNIVERSITY DR E STE 160, BRYAN, TX 77802-3480
(979) 431-4848
(979) 431-4846
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/19/2021
Last updated
09/30/2021
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