Healthcare Provider Details

I. General information

NPI: 1376453563
Provider Name (Legal Business Name): VITAL ROUTE LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 FRANCES LORENA DR
DOVER DE
19904-1876
US

IV. Provider business mailing address

8 THE GRN STE B
DOVER DE
19901-3618
US

V. Phone/Fax

Practice location:
  • Phone: 302-233-8233
  • Fax:
Mailing address:
  • Phone: 302-233-8233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: OFOSU EDMUND MINTAH
Title or Position: OWNER
Credential:
Phone: 302-233-8233