Organization
VITALWORKS STAFFING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN SMITH (MEMBER)
(313) 829-9659
Entity
Organization
Contact information
Practice address
1515 W LAFAYETTE BLVD STE 206, DETROIT, MI 48216-1926
(313) 829-9659
Mailing address
1515 W LAFAYETTE BLVD STE 206, DETROIT, MI 48216-1926
(313) 829-9659
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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