Organization
VITALGUARD HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AONDOSOO VITALIS VANDEFAN AUTHORIZED OFFICIAL (AUTHORIZED OFFICIAL)
(919) 207-8052
Entity
Organization
Contact information
Practice address
5007 SOUTHPARK DR STE 200H, DURHAM, NC 27713-7739
(919) 591-7297
Mailing address
5007 SOUTHPARK DR STE 200H, DURHAM, NC 27713-7739
(919) 207-8052
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
09/25/2025
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