Organization
VITALHEALTH HOME CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVA DACANAY RN (AUTHORIZED OFFICIAL)
(619) 788-9281
Entity
Organization
Contact information
Practice address
9655 GRANITE RIDGE DR STE 201, SAN DIEGO, CA 92123-2676
(858) 900-7774
Mailing address
9655 GRANITE RIDGE DR STE 200, SAN DIEGO, CA 92123-2676
(858) 900-7774
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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