Organization
VIBRANT HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN E. WALLER IV (ADMIN/OWNER)
(972) 816-9299
Entity
Organization
Contact information
Practice address
3884 S SHILOH RD STE 118, GARLAND, TX 75041-4729
(903) 885-3975
(903) 885-3978
Mailing address
55 NOBLE CT STE 110, ROCKWALL, TX 75032-6278
(972) 816-9299
(972) 772-2565
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
011792
TX
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
011792
TX
Other
Enumeration date
10/05/2007
Last updated
11/19/2020
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