Provider Demographics
NPI:1952075251
Name:VAST HEALTH INC
Entity Type:Organization
Organization Name:VAST HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDSON
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORALES FELIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-877-1338
Mailing Address - Street 1:703 GORDON AVE N
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-1134
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:703 GORDON AVE N
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-1134
Practice Address - Country:US
Practice Address - Phone:305-877-1338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care