Vitalityhome Healthcare, LLC

Organization Active NPI Home Health Agency · Fairfax, VA

NPI 1962974352 · NPPES record last updated Dec 22, 2018

Key facts

NPI
1962974352
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
VITALITYHOME HEALTHCARE, LLC
Practice address
4123 Fountainside LN
Fairfax, VA 22030-7402
Phone
(847) 346-9913
NPI assigned
Dec 22, 2018
Organization subpart
No

Authorized official

Name
Roy Aguila
Title
Director
Phone
(847) 346-9907

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

4123 Fountainside LN
Fairfax, VA 22030-7402

Mailing address

4123 Fountainside LN
Fairfax, VA 22030-7402
Phone (847) 346-9913

Other providers in Fairfax, VA

All providers in Fairfax, VA · Home Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.