Organization
VWELLWEST, INC.
Active
Other names
Vital Wellness Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNETH C PANALIGAN RN (ADMINISTRATOR)
(630) 742-5608
Entity
Organization
Contact information
Practice address
10451 W. PALMERAS DRIVE, SUITE 115, SUN CITY, AZ 85374
(623) 933-1896
(623) 933-4015
Mailing address
10451 W PALMERAS DR, SUITE 237W, SUN CITY, AZ 85373-2011
(623) 933-1896
(623) 933-4015
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA4404
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-7278
MEDICARE PTAN
AZ
Enumeration date
06/16/2008
Last updated
08/02/2010
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