Healthcare Provider Details

I. General information

NPI: 1558076232
Provider Name (Legal Business Name): VITAL CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

972 S PARKWOOD DR
SOUTH LYON MI
48178-1677
US

IV. Provider business mailing address

972 S PARKWOOD DR
SOUTH LYON MI
48178-1677
US

V. Phone/Fax

Practice location:
  • Phone: 248-508-2421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA WUJCZYK
Title or Position: PRESIDENT
Credential:
Phone: 248-508-2421