Organization
SJ HARRIS VITAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE HARRIS (OWNER)
(708) 786-0896
Entity
Organization
Contact information
Practice address
227 WANDA WAY, AMERICUS, GA 31709-2746
(708) 786-0896
Mailing address
227 WANDA WAY APT B-5, AMERICUS, GA 31709-2746
(708) 786-0896
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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