# VITAL WELLNESS HEALTHCARE, INC.

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

## Provider details

- **NPI number:** 1477035558
- **Authorized official:** NELIA LAUREL- LADLAD (CEO)
- **Authorized official phone:** (773) 332-9568

## Contact information

- **Practice address:** 2621 MONTEGA DR STE E, SPRINGFIELD, IL 62704-7002
- **Practice address phone:** (312) 989-9260
- **Practice address fax:** (773) 345-4637
- **Mailing address:** 1717 HOWARD ST, EVANSTON, IL 60202-3735
- **Mailing address phone:** (773) 332-9568
- **Mailing address fax:** (773) 345-4637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010318 | IL | Yes |

## Other

- **Enumeration date:** 09/05/2018
- **Last updated:** 06/11/2019