MEDICARE: VRI, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HP0248200	NJ

General Provider Information

NPI Number	:	1871034942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VRI, INC

Provider Business Mailing Address
First Line	:	523 FELLOWSHIP RD
Second Line	:	SUITE 270
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-3414
Country	:	US
Telephone Number	:	856-552-5166
Fax Number	:	856-762-0722

Provider Business Practice Location Address
First Line	:	523 FELLOWSHIP RD
Second Line	:	SUITE 270
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-3414
Country	:	US
Telephone Number	:	856-552-5166
Fax Number	:	856-762-0722

Authorized Official
Title or Position	:	CFO
Name	:	MR. ROBERT SEGIN
Credential	:
Telephone Number	:	856-355-0040

Provider Enumeration Date	:	03/09/2017
Last Update Date	:	03/09/2017

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