# WELLVITA,INC

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

## Provider details

- **NPI number:** 1578011680
- **Authorized official:** LUTHER CHARLES (CEO/DIRECTOR)
- **Authorized official phone:** (561) 502-6388

## Contact information

- **Practice address:** 125 NE 205TH TER, MIAMI GARDENS, FL 33179-1714
- **Practice address phone:** (561) 502-6388
- **Mailing address:** 125 NE 205TH TER, MIAMI GARDENS, FL 33179-1714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 22286 | FL | Yes |

## Other

- **Enumeration date:** 09/18/2016
- **Last updated:** 09/18/2016