| NPI | 1659517639 |
|---|---|
| Doing Business As | VAILLIANA |
| Entity Type | Organization |
| Authorized Contact | JOE M HURD Orthotic Tech 217-554-5739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: IL X) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2022-07-21 |