# VITAL SOCIAL SERVICES LLC

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

## Provider details

- **NPI number:** 1891326351
- **Authorized official:** QUINTIN VALIENTE (PRESIDENT)
- **Authorized official phone:** (786) 580-4716

## Contact information

- **Practice address:** 3901 NW 79TH AVE STE 241, DORAL, FL 33166-6506
- **Practice address phone:** (786) 580-4716
- **Practice address fax:** (786) 580-4753
- **Mailing address:** 3901 NW 79TH AVE STE 241, DORAL, FL 33166-6506
- **Mailing address phone:** (786) 580-4716
- **Mailing address fax:** (786) 580-4753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2020
- **Last updated:** 02/03/2020