VCG ARIZONA LLC; NPI #1225719149

Contact Information

VCG ARIZONA LLC

5658 AZ 260
STE 21A
LAKESIDE, AZ 85929

Phone: 903-787-7609
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for VCG ARIZONA LLC

NPI Number 1225719149

LBN Legal business name VCG ARIZONA LLC

Authorized official CHRIS WALKER - (CHIEF OPERATING OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/25/2023

Last updated 07/25/2023 - About 3 years ago

Identifiers

Other

HSPC12427

AZ STATE LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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VCG ARIZONA LLC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for VCG ARIZONA LLC

Reviews for VCG ARIZONA LLC