Organization
VIC HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAN TRAN (PRESIDENT)
(678) 575-1258
Entity
Organization
Contact information
Practice address
1370 DORCHESTER AVE, SUITE 22B, DORCHESTER, MA 02122-2921
(678) 575-1258
Mailing address
1370 DORCHESTER AVE, SUITE 22B, DORCHESTER, MA 02122-2921
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
11/20/2015
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