Organization
VRCLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN KOEHN (CEO)
(919) 235-2949
Entity
Organization
Contact information
Practice address
609 N CHURCH ST, FOUR OAKS, NC 27524-0614
(919) 235-2949
(888) 803-0047
Mailing address
PO BOX 614, FOUR OAKS, NC 27524-0614
(919) 235-2949
(888) 803-0047
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
A-2946
NC
Other
Enumeration date
06/10/2014
Last updated
06/26/2014
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