Vienna Convalescent Hospital

NPI Provider: 1972501823
Contact Name: WRIGHT COREY
Position: ADMINISTRATOR
Phone: (209) 368-7141

Vienna Convalescent Hospital Information:

Vienna Convalescent Hospital organization have npi 1972501823, taxonomy code is 314000000X with license number is in . This Business address located in 800 S Ham Ln, Lodi, CA 95242 California.

Practice Location
Address: 800 S Ham Ln, Lodi, CA 95242
Phone: (209) 368-7141

Business Location
Address: 800 S Ham Ln, Lodi, CA 95242
Phone: (209) 368-7141
Fax: (209) 368-2163

Taxonomy

Taxonomy Code: 314000000X

License Number:

License Number of State: CA

Primary Taxonomy Switch: Y

Enumeration Date: 7/13/2005

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