# VITAL SPRING LLC

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

## Provider details

- **NPI number:** 1699694281
- **Authorized official:** GABRIEL BAMANA (OPERATIONS MANAGER)
- **Authorized official phone:** (612) 203-6139

## Contact information

- **Practice address:** 169 BERKSHIRE RD, WATERLOO, IA 50701-4003
- **Practice address phone:** (612) 203-6139
- **Mailing address:** 116 GENEVA BLVD, BURNSVILLE, MN 55306-6437

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2026
- **Last updated:** 07/15/2026