NPI 1598533853

Vitality Healthcare LLC

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

Practice location

Address: 12890 Old Meridian St APT 207, Carmel, IN 46032-8921
Phone: (317) 602-0991

Authorised official

Name: Sangano J Kagabo
Title: Program Manager
Phone: (317) 602-0991

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1598533853
Entity type: Organization
NPI issued: 18 Dec 2023
Record last updated: 18 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.