Organization
VALLEY REGIONAL HEALTH SERVICES L3C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY A MUNTZ (MANAGER)
(815) 664-1372
Entity
Organization
Contact information
Practice address
4391 VENTURE DR, PERU, IL 61354-1014
(815) 664-1328
(815) 664-1406
Mailing address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-1328
(815) 664-1406
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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