Organization
VITAL ALLIANCE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MORRISON (OWNER)
(267) 565-9406
Entity
Organization
Contact information
Practice address
3629 WHITEHALL LN, PHILADELPHIA, PA 19114-1826
(267) 565-9406
Mailing address
3629 WHITEHALL LN, PHILADELPHIA, PA 19114-1826
(267) 565-9406
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103754982000-1
—
PA
Enumeration date
05/02/2020
Last updated
05/02/2020
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