| Organization Name: | MEDLEY VITAL CARE INFUSION, INC. |
| NPI Number: | 1578671509 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA MITCHELL (MANAGER) |
| Mailing Address: | 601 East Hwy 28 Owensville |
| State: | MO US |
| Postal Code: | 65066 |
| Phone Number: | 5734373440 |
| Fax Number: | 5734374963 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 03/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 005817 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |