Provider Demographics
NPI:1790561975
Name:PERSONAL VITAL CARE INC
Entity Type:Organization
Organization Name:PERSONAL VITAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA NOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-488-2120
Mailing Address - Street 1:2300 W 84TH ST STE 303
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5772
Mailing Address - Country:US
Mailing Address - Phone:786-488-2120
Mailing Address - Fax:
Practice Address - Street 1:2300 W 84TH ST STE 303
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5772
Practice Address - Country:US
Practice Address - Phone:786-488-2120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care