# STILL VITALITY CARE LLC

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

## Provider details

- **NPI number:** 1982553871
- **Authorized official:** DR. CHIMEZIE JOANNA AGOMOH PHD, RN PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (774) 202-9533

## Contact information

- **Practice address:** 1017 TURNPIKE ST STE BOFFICE2, CANTON, MA 02021-2853
- **Practice address phone:** (774) 202-9533
- **Practice address fax:** (949) 883-2076
- **Mailing address:** 6 ELIZABETH LN, WEST BRIDGEWATER, MA 02379-1838
- **Mailing address phone:** (774) 202-9533
- **Mailing address fax:** (949) 883-2076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2026
- **Last updated:** 09/17/2026
