Organization
VICKSBURG HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY CONVERSE (CEO)
(269) 492-8423
Entity
Organization
Contact information
Practice address
3075 E VW AVE, VICKSBURG, MI 49097-7739
(269) 492-8423
(866) 854-7795
Mailing address
PO BOX 606, SCHOOLCRAFT, MI 49087-0606
(269) 492-8423
(866) 854-7795
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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