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Organization
VITAL CARE HOME HEALTH, INC.
Active
Organization
VITAL CARE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA K. SULLIVAN (ADMINISTRATOR DESIGNEE)
(909) 496-7710
Entity
Organization
Contact information
Practice address
2130 N ARROWHEAD AVE, 103C, SAN BERNARDINO, CA 92405-4023
(909) 882-0101
(909) 882-0202
Mailing address
2130 N ARROWHEAD AVE, 103C, SAN BERNARDINO, CA 92405-4023
(909) 882-0101
(909) 882-0202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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