Organization
VITAL ENRICHMENT RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA WALKER (OWNER)
(706) 315-9592
Entity
Organization
Contact information
Practice address
6300 MILGEN RD, APT 1283, COLUMBUS, GA 31907-5889
(706) 315-9592
Mailing address
6300 MILGEN RD, APT 1283, COLUMBUS, GA 31907-5889
(706) 315-9592
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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