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Organization
STILL VITALITY CARE LLC
Active
Organization
STILL VITALITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIMEZIE JOANNA AGOMOH PHD, RN PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(774) 202-9533
Entity
Organization
Contact information
Practice address
1017 TURNPIKE ST STE BOFFICE2, CANTON, MA 02021-2853
(774) 202-9533
(949) 883-2076
Mailing address
6 ELIZABETH LN, WEST BRIDGEWATER, MA 02379-1838
(774) 202-9533
(949) 883-2076
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2026
Last updated
09/17/2026
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