Organization
AGENCY FOR VITAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDA MARIE ALICE VITAL (CHIEF EXECUTIVE OFFICER)
(305) 714-9462
Entity
Organization
Contact information
Practice address
200 S BISCAYNE BLVD., SUITE 2790, MIAMI, FL 33131
(305) 714-9462
(305) 402-3307
Mailing address
200 S BISCAYNE BLVD., SUITE 2790, MIAMI, FL 33131
(305) 714-9462
(305) 402-3307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
07/16/2019
Last updated
07/17/2019
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