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Organization

VITAL WELLNESS CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALLAN DENNIS ROSALES (CLINICAL OPERATIONS EXECUTIVE)
(815) 272-6292
Entity
Organization

Contact information

Practice address
7853 E ARAPAHOE CT, SUITE 1100, CENTENNIAL, CO 80112
(630) 369-8450
Mailing address
1717 HOWARD ST, EVANSTON, IL 60202-3735
(312) 989-9260
(773) 345-4637

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20111674892
CO

Other

Enumeration date
07/18/2012
Last updated
08/27/2018
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