# SJ HARRIS VITAL CARE LLC

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

## Provider details

- **NPI number:** 1730925041
- **Authorized official:** JADE HARRIS (OWNER)
- **Authorized official phone:** (708) 786-0896

## Contact information

- **Practice address:** 227 WANDA WAY, AMERICUS, GA 31709-2746
- **Practice address phone:** (708) 786-0896
- **Mailing address:** 227 WANDA WAY APT B-5, AMERICUS, GA 31709-2746
- **Mailing address phone:** (708) 786-0896

## Taxonomy

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

## Other

- **Enumeration date:** 07/05/2024
- **Last updated:** 07/05/2024