Organization
VITAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX ADIZUE (PRESIDENT)
(919) 679-3022
Entity
Organization
Contact information
Practice address
7048 KNIGHTDALE BLVD STE 101, KNIGHTDALE, NC 27545-8894
(919) 679-3022
(888) 398-8099
Mailing address
7048 KNIGHTDALE BLVD STE 101, KNIGHTDALE, NC 27545-8894
(919) 679-3022
(888) 398-8099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497399422
—
NC
Enumeration date
11/02/2019
Last updated
10/16/2024
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