Organization
VITAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNETH C PANALIGAN (OWNER)
(309) 369-8450
Entity
Organization
Contact information
Practice address
6860 S YOSEMITE CT, 2000, CENTENNIAL, CO 80112-1409
(630) 369-8450
Mailing address
651 AMERSALE DR, 105, NAPERVILLE, IL 60563-2587
(630) 369-8450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20111674892
CO
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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