Vsl Lake City LLC

NPI #1174053771 in Lake City, Iowa

Provider Information

NPI Number
1174053771
Entity Type
Organization
Organization Name
Vsl Lake City LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 15, 2017
Last Updated
Jun 15, 2017

Practice Location

Address
1409 W MAIN ST
State
Iowa
ZIP Code
51449-1578
Phone
(712) 464-3106

Authorized Official

Name
JACK D VETTER
Title
CEO
Phone
(402) 895-3932

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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