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Vcg Arizona Llc
Community Based Hospice Care Agency in Lakeside, Arizona
NPI 1225719149

Vcg Arizona Llc is a Community Based Hospice Care Agency based in Dallas, AZ. Vcg Arizona Llc practices in Lakeside, AZ. The NPI Number for Vcg Arizona Llc is 1225719149 and holds a License No. (Arizona).

The current practice location address for Vcg Arizona Llc is 5658 Az 260, Lakeside, AZ and can be reached out via phone at 903-787-7609.

Location: 5658 Az 260, Lakeside, AZ, 75206-1883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225719149
Provider Name
Vcg Arizona Llc
Credential
Provider Entity Type
Organization
Address
5658 Az 260, Lakeside, AZ, 75206-1883
Phone Number
903-787-7609
Fax Number
Provider Enumeration Date
07/25/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSPC12427 01 AZ AZ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5658 Az 260
City
Lakeside
State
Arizona
Zip
85929
Phone Number
903-787-7609
Fax Number
person
Provider Business Mailing Address Details
Address
5658 Az 260
City
Lakeside
State
Arizona
Zip
85929
Phone Number
903-787-7609
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
()
Definition
Definition to come...
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