Healthcare Provider Details

I. General information

NPI: 1982234217
Provider Name (Legal Business Name): VITAL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2020
Last Update Date: 01/26/2020
Certification Date: 01/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46066 ROYAL DR
CHESTERFIELD MI
48051-3250
US

IV. Provider business mailing address

46066 ROYAL DR
CHESTERFIELD MI
48051-3250
US

V. Phone/Fax

Practice location:
  • Phone: 586-709-2350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARC DOWNS
Title or Position: ADMINISTRATOR
Credential:
Phone: 586-709-2350