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General NPI Number Information
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NPI Number | 1548086853
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Entity Type | Organization
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Legal Business Name | VITALITY HOME CARE, LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 14800 TWIN LAKES RD
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City | AMARILLO
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State | TX
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Zip | 79118-4629
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Country | US
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Telephone | 806-220-3781
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 SE 34TH AVE, STE 1500 #533 AMARILLO, TX 79118
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City | AMARILLO
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State | TX
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Zip | 79118
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Country | US
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Telephone | 806-220-3781
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | BECKY BURTON
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Credential |
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Telephone | 806-220-3781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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