| Vital Source Home Care Providers Llc | |
|
18945 Fielding St Detroit MI 48219-2511 | |
| (313) 492-9437 | |
| Not Available |
| Full Name | Vital Source Home Care Providers Llc |
|---|---|
| Speciality | Adult Companion |
| Location | 18945 Fielding St, Detroit, Michigan |
| Authorized Official Name and Position | Damita Collette Johnson (MANAGER) |
| Authorized Official Contact | 3134929437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Source Home Care Providers Llc 1401 W Fort St Unit 441846 Detroit MI 48244-3575 Ph: (313) 492-9437 | Vital Source Home Care Providers Llc 18945 Fielding St Detroit MI 48219-2511 Ph: (313) 492-9437 |
| NPI Number | 1124833900 |
|---|---|
| Provider Enumeration Date | 02/10/2025 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124833900 | NPI | - | NPPES |
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