Healthcare Provider Details

I. General information

NPI: 1639669039
Provider Name (Legal Business Name): VAC HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2018
Last Update Date: 05/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22222 AUBURN CANYON LN
RICHMOND TX
77469-5638
US

IV. Provider business mailing address

22222 AUBURN CANYON LN
RICHMOND TX
77469-5638
US

V. Phone/Fax

Practice location:
  • Phone: 832-202-8444
  • Fax:
Mailing address:
  • Phone: 832-202-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOY ANWURI
Title or Position: ADMINISTRATOR
Credential:
Phone: 832-202-8444