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Organization
RONALD L. VANCE VANCES REHABILITATION CENTER
Active
Organization
RONALD L. VANCE VANCES REHABILITATION CENTER
Active
Other names
Vances Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE J VANCE (FINANCIAL OFFICER)
(989) 732-4753
Entity
Organization
Contact information
Practice address
609 N COURT AVE, GAYLORD, MI 49735-1515
(989) 732-4753
(989) 731-3553
Mailing address
609 N COURT AVE, GAYLORD, MI 49735-1515
(989) 732-4753
(989) 731-3553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501000840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30377
BCBS
MI
05
—
3403920
—
MI
01
—
P54878
BLUE CARE NETWORK
MI
Enumeration date
07/29/2005
Last updated
09/12/2012
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