Healthcare Provider Details

I. General information

NPI: 1306206255
Provider Name (Legal Business Name): VITAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2016
Last Update Date: 03/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12765 STRATHERN ST
NORTH HOLLYWOOD CA
91605-1108
US

IV. Provider business mailing address

12765 STRATHERN ST
NORTH HOLLYWOOD CA
91605-1108
US

V. Phone/Fax

Practice location:
  • Phone: 818-659-0929
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: THOMAS NAZARETIAN
Title or Position: CEO
Credential:
Phone: 818-659-0929