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NPI Code Detail

MEDICARE: VITALITY FIRST HOME HEALTH CARE

MEDICARE: VITALITY FIRST HOME HEALTH CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1538782438
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITALITY FIRST HOME HEALTH CARE
Provider Business Mailing Address
First Line : 5250 LANKERSHIM BLVD STE 540
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-3187
Country : US
Telephone Number : 818-414-0818
Fax Number :
Provider Business Practice Location Address
First Line : 5250 LANKERSHIM BLVD STE 540
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-3187
Country : US
Telephone Number : 818-414-0818
Fax Number :
Authorized Official
Title or Position : CEO/ADMINISTRATOR
Name : ORLENA M KASTNING
Credential :
Telephone Number : 818-414-0818
Provider Enumeration Date : 05/26/2020
Last Update Date : 05/26/2020

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Directions to “VITALITY FIRST HOME HEALTH CARE ” Practice Location

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