Organization
VITA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALYANA BUYNEVICH (LICENSEE)
(925) 516-6470
Entity
Organization
Contact information
Practice address
4012 BLACKSMITH CIR, OAKLEY, CA 94561-4406
(925) 516-6470
Mailing address
4012 BLACKSMITH CIR, OAKLEY, CA 94561-4406
(925) 516-6470
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
01/10/2025
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