Organization
VCG ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIS WALKER (CHIEF OPERATING OFFICER)
(214) 491-0041
Entity
Organization
Contact information
Practice address
5656 E GRANT RD STE 170B, TUCSON, AZ 85712-2259
(903) 787-7609
Mailing address
8150 N CENTRAL EXPY STE 1800, DALLAS, TX 75206-1883
(903) 787-7609
(903) 871-0005
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSPC2942
ARIZONA STATE LICENSE
AZ
Enumeration date
07/18/2023
Last updated
07/18/2023
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