# VITALITY MOBILE NURSING SERVICES LLC

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

## Provider details

- **NPI number:** 1477277051
- **Authorized official:** NICOLE HALL HALL (RN)
- **Authorized official phone:** (772) 249-6381

## Contact information

- **Practice address:** 11740 SW VILLAGE PKWY APT 307, PORT SAINT LUCIE, FL 34987-2598
- **Practice address phone:** (772) 249-6381
- **Mailing address:** 11740 SW VILLAGE PKWY APT 307, PORT SAINT LUCIE, FL 34987-2598
- **Mailing address phone:** (772) 249-6381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/28/2022
- **Last updated:** 09/28/2022