Organization
VITAL SUPPORT HOME CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN SHPIGEL MBA (CEO)
(215) 379-3300
Entity
Organization
Contact information
Practice address
4711 WELLINGTON ST, PHILADELPHIA, PA 19135-1320
(215) 379-3300
(215) 379-3400
Mailing address
4711 WELLINGTON ST, PHILADELPHIA, PA 19135-1320
(215) 379-3300
(215) 379-3400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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