Organization
VIGORWORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL Y. BOTTS (MANAGING PARTNER)
(215) 545-2000
Entity
Organization
Contact information
Practice address
313 SAGE LN, PHILADELPHIA, PA 19128-4556
(215) 545-2000
Mailing address
PO BOX 25817, PHILADELPHIA, PA 19128-5817
(215) 545-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003988
PA
251B00000X
Case Management Agency
—
—
Other
Enumeration date
12/11/2008
Last updated
07/21/2010
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