| NPI | 1114477718 |
|---|---|
| Doing Business As | VINE HEALTH CARE, INC |
| Entity Type | Organization |
| Authorized Contact | OLUWAFEMI MOYOADE IKUSIKA C.E.O 443-621-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD MH2147) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-08-17 |