# UNIVERSAL VIBRANT CARE LLC

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

## Provider details

- **NPI number:** 1760235261
- **Authorized official:** TORITSEJU EDEMA-SILLO (PROGRAM DIRECTOR)
- **Authorized official phone:** (347) 987-8822

## Contact information

- **Practice address:** 5680 KING CENTRE DR STE 676, ALEXANDRIA, VA 22315-5757
- **Practice address phone:** (703) 402-0395
- **Mailing address:** 64 BEGONIA ST, ANGIER, NC 27501-6291
- **Mailing address phone:** (347) 987-8822

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 04/08/2024