Organization
KRISVIC HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR I. VILLAROSA JR. RN (ADMINISTRATOR / OWNER)
(219) 663-4858
Entity
Organization
Contact information
Practice address
1317 NAPA CT, CROWN POINT, IN 46307-2529
(219) 663-4858
Mailing address
1317 NAPA CT, CROWN POINT, IN 46307-2529
(219) 663-4858
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/07/2011
Last updated
03/08/2011
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