Organization
VITA HEALTH CARE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYA SERDYUKOVA LCSW, MPH (ADMINISTRATOR)
(877) 968-6388
Entity
Organization
Contact information
Practice address
342 ANTHONY TRL, NORTHBROOK, IL 60062-2014
(877) 968-6388
(877) 968-3266
Mailing address
342 ANTHONY TRL, NORTHBROOK, IL 60062-2014
(877) 968-6388
(877) 968-3266
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IL
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011722
ILLINOIS STATE LICENSE
IL
Enumeration date
10/16/2013
Last updated
08/29/2024
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