# VRCLLC

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

## Provider details

- **NPI number:** 1588077200
- **Authorized official:** JEAN KOEHN (CEO)
- **Authorized official phone:** (919) 235-2949

## Contact information

- **Practice address:** 609 N CHURCH ST, FOUR OAKS, NC 27524-0614
- **Practice address phone:** (919) 235-2949
- **Practice address fax:** (888) 803-0047
- **Mailing address:** PO BOX 614, FOUR OAKS, NC 27524-0614
- **Mailing address phone:** (919) 235-2949
- **Mailing address fax:** (888) 803-0047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2278G1100X | General Care Certified Respiratory Therapist | A-2946 | NC | Yes |

## Other

- **Enumeration date:** 06/10/2014
- **Last updated:** 06/26/2014