Usrc Vp Home, Llc

NPI 1649675950 - Clinic/Center - 261QE0700X

NPI Details
NPI 1649675950
Enumeration Date 10/29/2014
Last Updated 10/16/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name THOMAS L THOMAS
Position MANAGER - AUTHORIZED OFFICIAL
Phone (630) 415-3458
Fax (630) 415-3463
Practice Location
202 E NORTH AVE
VILLA PARK IL, 60181-1221, US
Phone (630) 415-3458
Fax (630) 415-3463
Business Location
PO BOX 19119
JONESBORO AR, 72403-6601, US
Phone (870) 931-5400
Fax (870) 931-5418
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Usrc Vp Home, Llc NPI is 1649675950, taxonomy code is 261QE0700X Usrc Vp Home, Llc physically located at 202 E North Ave, Villa Park IL, 60181-1221. NPI Number 1033115704 has the healthcare provider type.

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1649675950 NPI number is provided on an as is basis without warranty of any kind. 1649675950 is maintained by the National Plan & Provider Enumeration System. The contents of Usrc Vp Home, Llc are for informational purposes only.