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Contact Information

VITAL AGENCY LLC
12864 FILLMORE STREET NE
BLAINE, MN55434
 Phone: 612-275-3889
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for VITAL AGENCY LLC

NPI # 1932762408
LBN Legal business name VITAL AGENCY LLC
Authorized official NAMBAGO KALEMA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2019
Last updated 04/19/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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