Healthcare Provider Details

I. General information

NPI: 1669302485
Provider Name (Legal Business Name): VITAL CARE SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 W CHURCH ST APT 518
JACKSONVILLE FL
32202-4144
US

IV. Provider business mailing address

421 W CHURCH ST APT 518
JACKSONVILLE FL
32202-4144
US

V. Phone/Fax

Practice location:
  • Phone: 904-631-2636
  • Fax:
Mailing address:
  • Phone: 904-631-2636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: KIARA CARR
Title or Position: OWNER
Credential:
Phone: 904-631-2636