Organization
VITALITY SENIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADONIJAH MOSES (CEO)
(337) 546-5966
Entity
Organization
Contact information
Practice address
213 FOREST STREET, OBERLIN, LA 70655
(337) 546-5966
(337) 639-4062
Mailing address
PO BOX 1159, OBERLIN, LA 70655-1159
(337) 546-5966
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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