Organization
VITA HEARING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S GILANE B.A., H.I.S. (OWNER)
(126) 288-3009
Entity
Organization
Contact information
Practice address
808A FOX LN, WATERFORD, WI 53185-4511
(262) 332-6700
Mailing address
808A FOX LN, WATERFORD, WI 53185-4511
(262) 332-6700
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42838800
—
WI
Enumeration date
05/05/2023
Last updated
05/05/2023
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