Organization · Type 2 NPI
Vita Health Initiative LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Wilmer, TX
Practice location
258 Green Meadows Rd
Wilmer, TX 75172-3335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physiological Laboratory | 293D00000X | None listed |
| Exclusive Provider Organization | 302F00000X | None listed |
| Health Maintenance Organization | 302R00000X | None listed |
| Preferred Provider Organization | 305R00000X | None listed |
| Point of Service | 305S00000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1821683608
Vita Health Initiative LLC's National Provider Identifier is 1821683608, issued on Mar 4, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Wilmer, TX. The record was last updated on Jul 12, 2022.