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VITA HEALTH INITIATIVE LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1821683608Organization

Specialties, Licenses & Credentials

Health Maintenance Organization

Health Maintenance Organization

Code: 302R00000X

Preferred Provider Organization

Preferred Provider Organization

Code: 305R00000X

Point of Service

Point of Service

Code: 305S00000X

Physiological Laboratory

Physiological Laboratory

Code: 293D00000X

Exclusive Provider Organization

Exclusive Provider Organization

Code: 302F00000X

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

Contact & Hours

Address
258 GREEN MEADOWS RD
WILMER, TX 75172

Quick Facts

NPI
1821683608
Entity Type
Organization
Medicare
Not confirmed
Specialties
6
Locations
1

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