Vialife Corporation

NPI 1134116809 - Home Health - 251E00000X

NPI Details
NPI 1134116809
Enumeration Date 09/28/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SHANNON DEWAYNE SHANNON
Position PRESIDENT
Phone (918) 824-9600
Fax (918) 824-4445
Practice Location
600 SE 49TH ST
PRYOR OK, 74361-4424, US
Phone (918) 824-9600
Fax (918) 824-4445
Business Location
600 SE 49TH ST
PRYOR OK, 74361-4424, US
Phone (918) 824-9600
Fax (918) 824-4445
Toxanomy
Taxonomy Code 251E00000X
License State Oklahoma
License Number 7795
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According to our database, Vialife Corporation NPI is 1134116809, taxonomy code is 251E00000X and license number is 7795, license state is located at Oklahoma. Vialife Corporation physically located at 600 Se 49th St, Pryor OK, 74361-4424. NPI Number 1033115704 has the healthcare provider type.

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1134116809 NPI number is provided on an as is basis without warranty of any kind. 1134116809 is maintained by the National Plan & Provider Enumeration System. The contents of Vialife Corporation are for informational purposes only.