National Provider Identifier Database

VCG ARIZONA LLC
Hospice Care, Community Based


Contact Information

VCG ARIZONA LLC
5658 AZ 260
STE 21A
LAKESIDE, AZ85929
Phone: 903-787-7609
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for VCG ARIZONA LLC

NPI Number 1225719149
Legal business name
LBN
VCG ARIZONA LLC
Authorized official CHRIS WALKER - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/25/2023
Last updated 07/25/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Other: HSPC12427 AZ STATE LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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