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Organization

VITALITY SUPPORTED LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUARINDA F RITCHEY (CEO)
(440) 645-8485
Entity
Organization

Contact information

Practice address
6545 SOUTH MAIN ST, NORTH KINGSVILLE, OH 44068
(440) 645-8485
Mailing address
PO BOX 518, NORTH KINGSVILLE, OH 44068-0518
(440) 645-8485

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
Primary
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
01/14/2021
Last updated
01/14/2021
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