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Organization
NC-VITAL HEALTHCARE INC.
Active
Organization
NC-VITAL HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN ELEGONYE RN (ADMINISTRATOR)
(214) 437-9530
Entity
Organization
Contact information
Practice address
337 OAKS TRL, SUITE 105, GARLAND, TX 75043-4096
(214) 484-3163
(214) 484-3257
Mailing address
337 OAKS TRL, SUITE 105, GARLAND, TX 75043-4096
(214) 484-3163
(214) 484-3257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011866
TX
Other
Enumeration date
08/15/2007
Last updated
10/09/2014
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