Provider Demographics
NPI:1114319142
Name:VARITY HEALTHCARE
Entity Type:Organization
Organization Name:VARITY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ANDRZEJCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-510-2898
Mailing Address - Street 1:14708 PADDOCK LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-1170
Mailing Address - Country:US
Mailing Address - Phone:909-899-7439
Mailing Address - Fax:909-275-7728
Practice Address - Street 1:14708 PADDOCK LN
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-1170
Practice Address - Country:US
Practice Address - Phone:909-899-7439
Practice Address - Fax:909-275-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)