Organization
VITALIS HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESMOND O ARREY (PRESIDENT/ADMIN)
(202) 390-6884
Entity
Organization
Contact information
Practice address
9550 FOREST LN STE 309, DALLAS, TX 75243-6060
(202) 390-6884
(972) 476-0870
Mailing address
9550 FOREST LN STE 309, DALLAS, TX 75243-6060
(202) 390-6884
(972) 476-0870
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
12/10/2020
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