Organization
PURE-LIFE SUPPORTIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUNTELL VAULS (OWNER)
(937) 529-6920
Entity
Organization
Contact information
Practice address
6339 UNION RD, CLAYTON, OH 45315-9753
(937) 529-6920
Mailing address
6339 UNION RD, CLAYTON, OH 45315-9753
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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