Provider Demographics
NPI:1790072627
Name:V AND V COMPANION CARE
Entity Type:Organization
Organization Name:V AND V COMPANION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-653-7356
Mailing Address - Street 1:4019 176TH PL
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-4805
Mailing Address - Country:US
Mailing Address - Phone:708-653-7356
Mailing Address - Fax:
Practice Address - Street 1:18545 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-5556
Practice Address - Country:US
Practice Address - Phone:708-756-7356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health