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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. Get directions of Vienna Convalescent Hospital.
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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