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Organization

VITALITY 360 INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIMERE BECOTE (OWNER)
(410) 805-9464
Entity
Organization

Contact information

Practice address
2442 N CHARLES ST, BALTIMORE, MD 21218-5113
(410) 413-6786
(410) 413-6792
Mailing address
2442 N CHARLES ST, BALTIMORE, MD 21218-5113
(410) 413-6786
(410) 413-6792

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
12/23/2019
Last updated
12/23/2019
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