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Organization
VITAL SOCIAL SERVICES LLC
Active
Organization
VITAL SOCIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINTIN VALIENTE (PRESIDENT)
(786) 580-4716
Entity
Organization
Contact information
Practice address
3901 NW 79TH AVE STE 241, DORAL, FL 33166-6506
(786) 580-4716
(786) 580-4753
Mailing address
3901 NW 79TH AVE STE 241, DORAL, FL 33166-6506
(786) 580-4716
(786) 580-4753
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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