Bv/mstar Caledonia Tenant, LLC
NPI #1851990436 in Racine, Wisconsin
Provider Information
- NPI Number
- 1851990436
- Entity Type
- Organization
- Organization Name
- Bv/mstar Caledonia Tenant, LLC
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Oct 23, 2020
- Last Updated
- Oct 23, 2020
Practice Location
Authorized Official
- Name
- MR. HENRY JAMES VAUGHN
- Title
- REIMBURSEMENT ANALYST
- Phone
- (240) 595-6025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
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