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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 - Phone
- (504) 434-8476
Quick Facts
- NPI
- 1821683608
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 6
- Locations
- 1
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