# VITAL MED HOME CARE INC

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

## Provider details

- **NPI number:** 1295229524
- **Authorized official:** BIANCA HERRERA (ADMINISTRATOR6)
- **Authorized official phone:** (678) 561-3397

## Contact information

- **Practice address:** 1249 HISTORIC HOMER HWY, HOMER, GA 30547-2738
- **Practice address phone:** (678) 561-3397
- **Mailing address:** PO BOX 233, DACULA, GA 30019-0004
- **Mailing address phone:** (678) 561-3397

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2018
- **Last updated:** 06/20/2018