Vital Wellnes Biloxi LLC
NPI #1992437669 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1992437669
- Entity Type
- Organization
- Organization Name
- Vital Wellnes Biloxi LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jun 30, 2022
- Last Updated
- Jun 30, 2022
Practice Location
- Address
- 770 WATER ST
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39530-4220
- Phone
- (228) 265-2229
Authorized Official
- Name
- SHANTENETTE JOANN AVERETT
- Title
- NURSE MANAGER
- Phone
- (228) 219-1314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| In Home Supportive Care |
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