# VIP MEDICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1992726889
- **Authorized official:** MRS. DELORES O FULLER RN (PRESIDENT)
- **Authorized official phone:** (856) 303-8505

## Contact information

- **Practice address:** 101 ROUTE 130 S BLDG WASHINGTON, SUITE 25, CINNAMINSON, NJ 08077-2845
- **Practice address phone:** (856) 303-8505
- **Mailing address:** 101 ROUTE 130 S BLDG WASHINGTON, SUITE 25, CINNAMINSON, NJ 08077-2845
- **Mailing address phone:** (856) 303-8505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HP0082400 | NJ | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 08/22/2020