Provider Demographics
NPI:1013198977
Name:VITAL SOLUTIONS HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:VITAL SOLUTIONS HOME HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-865-3318
Mailing Address - Street 1:12525 ORANGE DR
Mailing Address - Street 2:SUITE # 710
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4308
Mailing Address - Country:US
Mailing Address - Phone:954-475-2613
Mailing Address - Fax:954-475-2614
Practice Address - Street 1:12525 ORANGE DR
Practice Address - Street 2:SUITE # 710
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-4308
Practice Address - Country:US
Practice Address - Phone:954-475-2613
Practice Address - Fax:954-475-2614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health