Organization
VITALITY HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA MABRY RN (OWNER)
(402) 215-4092
Entity
Organization
Contact information
Practice address
2111 S 67TH ST STE 300, OMAHA, NE 68106-2882
(402) 225-0042
Mailing address
9705 ELLISON AVE, OMAHA, NE 68134-1621
(402) 215-4092
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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