Organization
VITAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOTOYA TATUM RN (OWNER)
(919) 667-5287
Entity
Organization
Contact information
Practice address
4222 ANGIER AVE, DURHAM, NC 27703-5941
(919) 695-7073
Mailing address
PO BOX 21365, DURHAM, NC 27703-1365
(919) 667-5287
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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