| Vital Vita Health, Llc | |
|
27156 Burbank Foothill Ranch CA 92610-2503 | |
| (714) 981-1006 | |
| Not Available |
| Full Name | Vital Vita Health, Llc |
|---|---|
| Speciality | Home Delivered Meals |
| Location | 27156 Burbank, Foothill Ranch, California |
| Authorized Official Name and Position | Albrik Patrick Jacobi (CEO) |
| Authorized Official Contact | 7149811006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Vita Health, Llc 36 Discovery Irvine CA 92618-3751 Ph: (714) 981-1006 | Vital Vita Health, Llc 27156 Burbank Foothill Ranch CA 92610-2503 Ph: (714) 981-1006 |
| NPI Number | 1235996349 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235996349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 332U00000X | Home Delivered Meals | (* (Not Available)) | Primary |
Michelle Beaudoin Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Alonda, Foothill Ranch, CA 92610 Phone: 442-216-6093 |