Organization
VITAL CARE HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRELLE BROWN (ADMISTRATOR)
(706) 350-3579
Entity
Organization
Contact information
Practice address
314 GREENVILLE ST STE 4, LAGRANGE, GA 30241-3232
(706) 350-3579
Mailing address
1006 WHITESVILLE ST APT D414, LAGRANGE, GA 30240-5355
(706) 350-3579
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/08/2024
Last updated
01/06/2025
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