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Organization
VITAL WELLNESS HEALTHCARE, INC.
Active
Organization
VITAL WELLNESS HEALTHCARE, INC.
Active
Other names
Vital Wellness Home Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN DENNIS ROSALES (CLINICAL OPERATION EXECUTIVE)
(312) 989-9260
Entity
Organization
Contact information
Practice address
2621 MONTEGA DR STE E, SPRINGFIELD, IL 62704
(217) 717-1909
(217) 717-1957
Mailing address
1717 HOWARD ST, EVANSTON, IL 60202-3735
(630) 369-8450
(630) 369-6984
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010318
IL
Other
Enumeration date
11/16/2005
Last updated
10/03/2018
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