Organization
VICTORY CLINICAL SERVICES III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MCCLEES (EXECUTIVE DIRECTOR)
(517) 784-2929
Entity
Organization
Contact information
Practice address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
Mailing address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
380098
MI
Other
Enumeration date
03/14/2007
Last updated
03/22/2012
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