Organization
DAMO VITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMOLIE KEMONE WILLIAMS (CEO)
(347) 929-3239
Entity
Organization
Contact information
Practice address
120 W PARK AVE STE 312C, LONG BEACH, NY 11561-3344
(516) 724-8013
(516) 724-8014
Mailing address
120 W PARK AVE STE 312C, LONG BEACH, NY 11561-3344
(516) 724-8013
(516) 724-8014
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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