Organization
VITAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE M SPELLIS-FREYRE CRNP (AUTHORIZED OFFICIAL)
(419) 740-3022
Entity
Organization
Contact information
Practice address
111 CLINTON ST, MAUMEE, OH 43537-2811
(197) 403-0224
(419) 740-3033
Mailing address
111 CLINTON ST, MAUMEE, OH 43537-2811
(419) 740-3022
(419) 740-3033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2021
Last updated
09/29/2023
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