Organization
VETERAN LIFE VITALITY SERVICES LLC
Active
Other names
VLV Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARRY WAYNE CLARK JD, PHD, MSM (CEO AND MANAGING MEMBER)
(660) 973-6617
Entity
Organization
Contact information
Practice address
206 RICE ST, MEADVILLE, MO 64659-9210
(660) 973-6617
Mailing address
206 RICE ST, MEADVILLE, MO 64659-9210
(660) 973-6617
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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