Organization
VITAL HOME & BEHAVIOR CARE LLC
Active
Organization
VITAL HOME & BEHAVIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIEN AGUILAR (CEO)
(786) 506-9360
Entity
Organization
Contact information
Practice address
19050 NW 57TH AVE APT 106, HIALEAH, FL 33015-5094
(786) 506-9360
Mailing address
19050 NW 57TH AVE APT 106, HIALEAH, FL 33015-5094
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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