Provider Demographics
NPI:1932447315
Name:VIBRANT HOME CARE INC
Entity Type:Organization
Organization Name:VIBRANT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARYAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-582-1793
Mailing Address - Street 1:3280 MORSE RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6175
Mailing Address - Country:US
Mailing Address - Phone:614-582-1793
Mailing Address - Fax:614-358-5477
Practice Address - Street 1:3280 MORSE RD
Practice Address - Street 2:SUITE 213
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6175
Practice Address - Country:US
Practice Address - Phone:614-582-1793
Practice Address - Fax:614-358-5477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-20
Last Update Date:2013-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health