Organization
VIECARE BEAVER, LLC
Active
Parent organization
VIECARE, INC
Other names
LIFE Beaver County
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIECARE, INC
Authorized official
MR. DAVID A. HAMM (V. P. FINANCIAL MANAGEMENT)
(724) 742-2226
Entity
Organization
Contact information
Practice address
131 PLEASANT DR, ALIQUIPPA, PA 15001-1384
(724) 378-5400
(724) 302-2093
Mailing address
1323 FREEDOM RD, CRANBERRY TOWNSHIP, PA 16066-5001
(724) 776-1100
(724) 776-0811
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
001976540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020790020001
—
PA
Enumeration date
04/28/2008
Last updated
04/28/2008
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