Provider Demographics
NPI:1841318342
Name:VL ENTERPRISES, INC
Entity type:Organization
Organization Name:VL ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CRAMER
Authorized Official - Last Name:VIELEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-586-3135
Mailing Address - Street 1:506 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1064
Mailing Address - Country:US
Mailing Address - Phone:570-586-3135
Mailing Address - Fax:570-586-2951
Practice Address - Street 1:506 N STATE ST
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1064
Practice Address - Country:US
Practice Address - Phone:570-586-3135
Practice Address - Fax:570-586-2951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008659410001Medicaid