VIDAHEALTH CARE INC; NPI #1003630823

Contact Information

VIDAHEALTH CARE INC

3410 KELOX RD
GWYNN OAK, MD 21207-6203

Phone: 443-627-3104
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for VIDAHEALTH CARE INC

NPI Number	`1003630823`
LBN Legal business name	VIDAHEALTH CARE INC
Authorized official	ISAAC FADEYIBI - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/08/2024
Last updated	11/08/2024 - More than a year 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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VIDAHEALTH CARE INC

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for VIDAHEALTH CARE INC

Reviews for VIDAHEALTH CARE INC