Healthcare Provider Details

I. General information

NPI: 1598011801
Provider Name (Legal Business Name): V.C.M. RESOURCES AND SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 OHIO PIKE STE 171S
CINCINNATI OH
45255-3630
US

IV. Provider business mailing address

431 OHIO PIKE STE 171S
CINCINNATI OH
45255-3630
US

V. Phone/Fax

Practice location:
  • Phone: 513-807-9959
  • Fax: 513-620-8052
Mailing address:
  • Phone: 513-807-9959
  • Fax: 513-620-8052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number1973935
License Number StateOH

VIII. Authorized Official

Name: VITALI CLIM
Title or Position: OWNER
Credential:
Phone: 513-807-9959