| Organization Name: | VITAL CARE OF SOUTHWEST VIRGINIA, INC. |
| NPI Number: | 1720482789 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN D. WILLIAMS (OWNER) |
| Mailing Address: | 305 Old Kentucky Tpke Cedar Bluff |
| State: | VA US |
| Postal Code: | 246099401 |
| Phone Number: | 2769640555 |
| Fax Number: | 2769642999 |
| NPI Enumeration Date: | 10/20/2014 |
| NPI Last Update Date: | 10/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 0201004074 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |