Organization
VITAL SUPPORT HOME HEALTH CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN A SHPIGEL (PRESIDENT)
(215) 917-3304
Entity
Organization
Contact information
Practice address
4711 WELLINGTON ST, PHILADELPHIA, PA 19135-1320
(215) 333-6000
(215) 333-5050
Mailing address
4711 WELLINGTON ST, PHILADELPHIA, PA 19135-1320
(215) 333-6000
(215) 333-5050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
83918950
PA
Other
Enumeration date
09/27/2006
Last updated
12/01/2011
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