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NPI Code Detail

MEDICARE: VILLA SIONGCO CORPORATION

MEDICARE: VILLA SIONGCO CORPORATION
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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1982742136
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLA SIONGCO CORPORATION
Provider Business Mailing Address
First Line : 1N131 COUNTY FARM RD
Second Line :
City : WINFIELD
State : IL
Zip : 60190-2000
Country : US
Telephone Number : 630-682-3871
Fax Number :
Provider Business Practice Location Address
First Line : 4703 N 1ST AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85718-5610
Country : US
Telephone Number : 520-546-5788
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. MATTHEW LOWE
Credential : CPA
Telephone Number : 630-682-3871
Provider Enumeration Date : 02/01/2007
Last Update Date : 04/05/2018

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Directions to “VILLA SIONGCO CORPORATION ” Practice Location

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