Healthcare Provider Details

I. General information

NPI: 1245964568
Provider Name (Legal Business Name): VCARE AFC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HIGH ST 1ST FLOOR
HOLYOKE MA
01040-6593
US

IV. Provider business mailing address

200 HIGH ST 1ST FLOOR
HOLYOKE MA
01040-6593
US

V. Phone/Fax

Practice location:
  • Phone: 508-333-6856
  • Fax:
Mailing address:
  • Phone: 508-333-6856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: OLGA ROD
Title or Position: ADMINISTRATOR
Credential:
Phone: 508-333-6856