# VIP HEALTHCARE PROFESSIONALS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245300680
- **Authorized official:** MRS. VEEDA LAVON MARTIN (OWNER CEO)
- **Authorized official phone:** (618) 235-2273

## Contact information

- **Practice address:** 2600 WEST BLVD, COLONIAL SQUARE OFFICE PARK, BELLEVILLE, IL 62221-5605
- **Practice address phone:** (618) 235-2273
- **Practice address fax:** (618) 235-2417
- **Mailing address:** 2600 WEST BLVD, COLONIAL SQUARE OFFICE PARK, BELLEVILLE, IL 62221-5605
- **Mailing address phone:** (618) 235-2273
- **Mailing address fax:** (618) 235-2417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 04/20/2008